Ricke, Bruce Lawrence
Ricke, Bruce Lawrence is an sole proprietor health care provider with primary practice located at 7800 Sw 57Th Ave Ste 225E, South Miami FL 33143-5528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ricke, Bruce Lawrence can be contacted via phone (305) 665-3990.Contact Information
Primary practice address
7800 Sw 57Th Ave Ste 225E
South Miami FL 33143-5528
Phone: (305) 665-3990
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME 45907 | Florida |
Profile Details
| NPI number | 1114905445 |
|---|---|
| LBN Legal business name | Ricke, Bruce Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Aug 19th, 2010 - about 16 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 | 1114905445 | NPPES |
| Florida | MEDICAID | 044909100 |
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