Individual
AUTHEIL FRECKLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 NW 65TH AVE, PLANTATION, FL 33317-1706
(954) 792-4874
Mailing address
700 NW 65TH AVE, PLANTATION, FL 33317-1706
(954) 792-4874
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13671
FL
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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