John R Picken Md | |
3530 Fruitville Road Sarasoa FL 34237 | |
(941) 552-8808 | |
(941) 552-8805 |
Full Name | John R Picken Md |
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Speciality | General Practice |
Location | 3530 Fruitville Road, Sarasoa, Florida |
Authorized Official Name and Position | John R Picken (OWNER) |
Authorized Official Contact | 9415528808 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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John R Picken Md 3530 Fruitville Road Sarasoa FL 34237 Ph: (941) 552-8808 | John R Picken Md 3530 Fruitville Road Sarasoa FL 34237 Ph: (941) 552-8808 |
NPI Number | 1316187156 |
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Provider Enumeration Date | 03/05/2009 |
Last Update Date | 03/05/2009 |
Identifier | Type | State | Issuer |
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1316187156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |