Individual
MICHAEL ROBERT FRATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LDN
Contact information
Practice address
900 CR 466, LADY LAKE, FL 32159
(352) 408-4286
Mailing address
2406 LAKE ELLA RD, FRUITLAND PARK, FL 34731-5324
(352) 408-4286
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND8462
FL
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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