Hicks, Mary Ann
Hicks, Mary Ann is an individual health care provider with primary practice located at 10141 Big Bend Rd Ste 103 , Riverview FL 33578-7421. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hicks, Mary Ann can be contacted via phone (813) 302-8740.Contact Information
Primary practice address
10141 Big Bend Rd Ste 103
Riverview FL 33578-7421
Phone: (813) 302-8740
Fax: (813) 605-6060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME88392 | Florida |
Profile Details
| NPI number | 1669451050 |
|---|---|
| LBN Legal business name | Hicks, Mary Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Jun 13th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669451050 | NPPES |
| Florida | MEDICAID | 268120000 |
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