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Individual

GRACE A FREIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
601 5TH ST S, 2ND FLOOR, SAINT PETERSBURG, FL 33701-4804
(727) 767-3333
(727) 767-8990
Mailing address
601 FIFTH STREET SOUTH, 2ND FLOOR, ST PETERSBURG, FL 33701-4804
(727) 767-3333
(727) 767-8990

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
ME108820
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003016500
FL
01
ME108820
FLORIDA MEDICAL LICENSE
FL
Enumeration date
09/15/2006
Last updated
09/25/2012
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