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NPI Code Detail

MEDICARE: ANA SOFIJA HICKS

MEDICARE: ANA SOFIJA HICKS
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
1363A00000XPhysician AssistantPA9121644FL

General Provider Information

NPI Number : 1659221349
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA SOFIJA HICKS
Provider Business Mailing Address
First Line : 1700 S TAMIAMI TRL
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3509
Country : US
Telephone Number : 941-917-2600
Fax Number : 941-917-7884
Provider Business Practice Location Address
First Line : 1700 S TAMIAMI TRL
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3555
Country : US
Telephone Number : 941-917-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 04/15/2026

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Directions to “ ANA SOFIJA HICKS ” Practice Location

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