OrganizationActive
Hicksfamilymedicineohio, LLC
NPI 1619685500 · Family Medicine Physician · Continental, OH
Provider details
- NPI number
- 1619685500
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stacie Hicks, President/Owner(561) 305-9856
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
102 W Ash St
Continental, OH 45831-9162
Phone: (561) 305-9856
Approximate (ZIP-level) locationGet directions
Mailing address
102 W Ash St
Continental, OH 45831-9162
Registry dates
- Enumerated
- 2022-11-09
- Last updated
- 2023-01-31
- Certified
- 2023-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.