Individual
DR. FREDERICK D CASON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11373 CORTEZ BLVD STE 208, BROOKSVILLE, FL 34613-5405
(352) 597-0224
(352) 597-0252
Mailing address
11373 CORTEZ BLVD STE 208, BROOKSVILLE, FL 34613-5405
(352) 597-0224
(352) 597-0252
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
071217
GA
208600000X
Surgery Physician
2005019363
MO
208600000X
Surgery Physician
35086364
OH
208600000X
Surgery Physician
Primary
G45132
CA
208600000X
Surgery Physician
ME129329
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031445428B
—
GA
05
—
003144542A
—
GA
Enumeration date
07/07/2005
Last updated
12/30/2020
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