Individual
FRANK EDWARD GREDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0100
(850) 216-0191
Mailing address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0100
(850) 216-0191
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
042836
GA
207RC0000X
Cardiovascular Disease Physician
Primary
ME 54304
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
BLUE CROSS BLUE SHIELD
GA
05
—
000659062A
—
GA
05
—
009979020
—
AL
01
—
01106
UNIVERSAL HEALTH CARE
FL
01
—
04619
BLUE CROSS BLUE SHIELD
FL
05
—
049104700
—
FL
Enumeration date
06/20/2005
Last updated
07/09/2015
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