Hicks, Ilze

Hicks, Ilze is an individual health care provider with primary practice located at Po Box 1268 , New Smyrna Beach FL 32170-1268. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Hicks, Ilze can be contacted via phone (386) 259-8803.

Contact Information

Primary practice address
Po Box 1268 New Smyrna Beach FL 32170-1268
Phone: (386) 259-8803
Fax: (386) 213-9981
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X ME124762 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME124762 Florida

Profile Details

NPI number 1619337532
LBN Legal business name Hicks, Ilze
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2016
Last updated Jul 12th, 2024 - about 2 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619337532 NPPES
Florida MEDICAID 112624200

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