| Stephen T. Hickey, M.d., P.a. | |
|
335 11th Ave N Jacksonville Beach FL 32250-7251 | |
| (904) 242-0422 | |
| (904) 242-0241 |
| Full Name | Stephen T. Hickey, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 335 11th Ave N, Jacksonville Beach, Florida |
| Authorized Official Name and Position | Carrie Hickey (DOCTOR'S WIFE) |
| Authorized Official Contact | 9042420422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen T. Hickey, M.d., P.a. 335 11th Ave N Jacksonville Beach FL 32250-7251 Ph: (904) 242-0422 | Stephen T. Hickey, M.d., P.a. 335 11th Ave N Jacksonville Beach FL 32250-7251 Ph: (904) 242-0422 |
| NPI Number | 1801076112 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 11/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801076112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME0055724 (Florida) | Primary |
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