Individual
CECIL LEROY HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5655 SUNBERRY CIR, FORT PIERCE, FL 34951-3119
(772) 940-4456
Mailing address
5655 SUNBERRY CIR, FORT PIERCE, FL 34951-3119
(772) 940-4456
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
FL
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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