Ricketts, Denise
Ricketts, Denise is an individual health care provider with primary practice located at 1801 Se Hillmoor Dr Ste B-109 , Port Saint Lucie FL 34952-7550. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ricketts, Denise can be contacted via phone (772) 337-9473.Contact Information
Primary practice address
1801 Se Hillmoor Dr Ste B-109
Port Saint Lucie FL 34952-7550
Phone: (772) 337-9473
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME 114478 | Florida |
Profile Details
| NPI number | 1215163175 |
|---|---|
| LBN Legal business name | Ricketts, Denise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2009 |
| Last updated | Dec 10th, 2019 - about 5 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.
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