Mary Joyce Rico, MD
Dermatology in Miami Shores, FL. Individual provider (NPI-1).
NPI number1245338342
StatusActive
Last updated in NPPESFeb 18, 2022
Details
- NPI
- 1245338342
- Entity type
- Individual (NPI-1)
- Name
- Mary Joyce Rico
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2006
- Certification date
- Feb 18, 2022
- Last updated
- Feb 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | LL-909 | FL | Yes |
| 207N00000X | Dermatology | 13878 | NC | |
| 207N00000X | Dermatology | 30465 | NC |
Practice location
1432 Ne 105th StMiami Shores, FL 33138-2114
Phone 224-216-7749 · Fax 847-835-9946
Mailing address
1432 Ne 105th StMiami Shores, FL 33138-2114
Phone 224-216-7749 · Fax 847-835-9946
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