| John R Picken Md | |
|
3530 Fruitville Road Sarasoa FL 34237 | |
| (941) 552-8808 | |
| (941) 552-8805 |
| Full Name | John R Picken Md |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/05/2009 |
| Last Update Date | 03/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316187156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |