Individual
RICKY ALAN BUCKSHAW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT017750
PA
208M00000X
Hospitalist Physician
Primary
OS19012
FL
208M00000X
Hospitalist Physician
OT017750
PA
Other
Enumeration date
05/03/2017
Last updated
01/18/2023
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