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Individual

RYAN HALICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
ME153322
FL
390200000X
Student in an Organized Health Care Education/Training Program
23393
FL
390200000X
Student in an Organized Health Care Education/Training Program
MT219475
PA

Other

Enumeration date
06/27/2016
Last updated
04/04/2022
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