Provider Demographics
NPI:1568657732
Name:RICKSON, NEHA PARIKH (MD)
Entity Type:Individual
Prefix:
First Name:NEHA
Middle Name:PARIKH
Last Name:RICKSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NEHA
Other - Middle Name:
Other - Last Name:PARIKH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1700 PORTER RD
Mailing Address - Street 2:STE 209
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787
Mailing Address - Country:US
Mailing Address - Phone:321-841-7171
Mailing Address - Fax:321-843-6285
Practice Address - Street 1:1700 PORTER RD
Practice Address - Street 2:STE 209
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787
Practice Address - Country:US
Practice Address - Phone:321-841-7171
Practice Address - Fax:321-843-6285
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME101658207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFO908ZMedicare PIN