ILZE HICKS (NPI# 1619337532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619337532 |
| Entity Type | Individual |
| Full Name | ILZE HICKS |
| Credential | M.D. |
| Practice Address |
4348 Southpoint Blvd Suite 100 Jacksonville FL 32216-0986 |
| Mailing Address |
Po Box 551178 Jacksonville FL 32255-1178 |
| Practice Telephone | 9042811915 |
| Practice Fax Number | 9042811119 |
| Mailing Telephone | 8049124947 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME124762 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4348 SOUTHPOINT BLVD SUITE 100 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-0986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679549232 | Bhavesh S Patel | Internal Medicine | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0986 | 2006-02-24 |
| 1730536632 | Lourdine Jean-baptiste | Nurse Practitioner | 4348 Southpoint Blvd, Ste 100, Jacksonville, FL 32216-0986 | 2016-05-20 |
| 1710341557 | Kelly Traylor | Nurse Practitioner | 4348 Southpoint Blvd, Ste 100, Jacksonville, FL 32216-0986 | 2016-04-07 |
| 1568833804 | Gloria Calderon | Nurse Practitioner | 4348 Southpoint Blvd, Ste 100, Jacksonville, FL 32216-0986 | 2015-10-13 |
| 1386027332 | Stephanie Nicole Burkhalter | Nurse Practitioner | 4348 Southpoint Blvd, Ste 100, Jacksonville, FL 32216-0986 | 2015-07-08 |
| 1750787982 | Iah of Florida, LLC | Family Medicine | 4348 Southpoint Blvd, Ste. 100, Jacksonville, FL 32216-0986 | 2014-11-17 |
| 1407197585 | Rmed LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4348 Southpoint Blvd, Suite#100, Jacksonville, FL 32216-0986 | 2013-03-14 |
| 1023360435 | Rebecca K Reza | Registered Nurse | 4348 Southpoint Blvd, Ste 100, Jacksonville, FL 32216-0986 | 2012-10-09 |
| 1528336575 | Vpa PC | Internal Medicine | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0986 | 2011-12-06 |
| 1710203435 | Jesse Balseiro | Family Medicine | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0986 | 2010-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680220 | Florida Injury & Regenerative Medicine, Pllc | General Practice | 8640 Philips Hwy Ste 10, Jacksonville, FL 32256-1208 | 2020-05-15 |
| 1689296808 | Sajid Khan Md LLC | General Practice | 4600 Touchton Rd E Ste 1150, Jacksonville, FL 32246-1542 | 2020-05-11 |
| 1396392767 | Yurelsy Galvez Ricardo | General Practice | 725 Middle Branch Way, Jacksonville, FL 32259-6201 | 2019-08-21 |
| 1639721772 | Deborah Brabham | General Practice | 10990 Lydia Estates Dr E, Jacksonville, FL 32218-6940 | 2019-07-09 |
| 1851868459 | Nursing On Demand Inc | General Practice | 1260 Mcduff Ave S # 3, Jacksonville, FL 32205-8030 | 2018-11-01 |
| 1295202984 | Summit Integrative Health, LLC | General Practice | 12627 San Jose Blvd Ste 305, Jacksonville, FL 32223-8639 | 2018-10-31 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1255859641 | Mcgowan Medical Centers, Pa | General Practice | 3021 N Main St, Jacksonville, FL 32206-2122 | 2017-09-06 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1700247863 | Emily Calhoun | General Practice | 554 Kelly Ln, Jacksonville, FL 32234-3049 | 2016-03-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on ILZE HICKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.