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NPI Code Detail

MEDICARE: DR. BRIDGET RICKMAN AU.D.

MEDICARE:  DR. BRIDGET  RICKMAN  AU.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologistAY1388FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558407791
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIDGET RICKMAN AU.D.
Provider Business Mailing Address
First Line : 240 33RD AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33704-2236
Country : US
Telephone Number : 813-631-5059
Fax Number :
Provider Business Practice Location Address
First Line : 12220 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33612-9201
Country : US
Telephone Number : 813-631-5059
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 07/08/2007

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Directions to “ DR. BRIDGET RICKMAN AU.D.” Practice Location

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