Jeffrey D Ricketts, PA
NPI #1063495281 in Jacksonville, Florida
Provider Information
- NPI Number
- 1063495281
- Entity Type
- Individual
- Name
- Jeffrey D Ricketts, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA
- Enumeration Date
- Nov 22, 2005
- Last Updated
- May 10, 2018
Practice Location
- Address
- 836 PRUDENTIAL DR
- Address 2
- STE 1804
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32207
- Phone
- (904) 398-3888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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