Individual
MR. ERIC GERARD HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
7251 CEDAR CT N APT 207, ST PETERSBURG, FL 33702-5545
(727) 239-2462
(727) 374-3868
Mailing address
7251 CEDAR CT N APT 207, ST PETERSBURG, FL 33702-5545
(727) 239-2462
(727) 374-3868
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5180403
FL
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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