MR. Charles Hicks
NPI #1447430905 in Miami Gardens, Florida
Provider Information
- NPI Number
- 1447430905
- Entity Type
- Individual
- Name
- MR. Charles Hicks
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Nov 13, 2007
- Last Updated
- Nov 13, 2007
Practice Location
- Address
- 111 NW 183RD ST
- Address 2
- SUITE 400
- City
- Miami Gardens
- State
- Florida
- ZIP Code
- 33169-4537
- Phone
- (305) 892-4753
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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Organizations
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|---|---|
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