| NPI | 1255893343 |
|---|---|
| Doing Business As | DENISE RICKETTS |
| Entity Type | Organization |
| Authorized Contact | DENISE RICKETTS Owner 786-390-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2021-12-28 |