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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114905445 NPPES
Florida MEDICAID 044909100

Popular Providers