Organization
GULFCARE, LLC DBA FEDOK PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK FEDOK MD (OWNER PRESIDENT)
(251) 943-6003
Entity
Organization
Contact information
Practice address
113 E FERN AVE, FOLEY, AL 36535-2806
(251) 943-6003
(251) 943-2429
Mailing address
113 E. FERN AVENUE, FOLEY, AL 36535
(251) 943-6003
(251) 943-2429
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
15147
AL
261QM2500X
Medical Specialty Clinic/Center
15147
AL
Other
Enumeration date
12/19/2014
Last updated
08/14/2017
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