Organization
FROG SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONA J FOSTER (OFFICE MANAGER)
(727) 532-0051
Entity
Organization
Contact information
Practice address
2323 CURLEW RD, SUITE 7-A, DUNEDIN, FL 34698-9330
(727) 789-5771
(727) 535-6196
Mailing address
1533 WINDING WAY E, CLEARWATER, FL 33764-2556
(727) 532-0051
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75750
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/16/2012
Last updated
08/16/2012
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