John R Picken MD

NPI #1316187156 in Sarasoa, Florida

Provider Information

NPI Number: 1316187156
Entity Type: Organization
Organization Name: John R Picken MD
Primary Specialty: General Practice
Enumeration Date: Mar 5, 2009
Last Updated: Mar 5, 2009

Practice Location

Address: 3530 FRUITVILLE ROAD
City: Sarasoa
State: Florida
ZIP Code: 34237
Phone: (941) 552-8808

Authorized Official

Name: JOHN R PICKEN, MD
Title: OWNER
Phone: (941) 552-8808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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