Individual
DR. FREDRICK BROWN LUTZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1541 MEDICAL DR, TALLAHASSEE, FL 32308-4615
(850) 431-7801
(850) 431-7809
Mailing address
1541 MEDICAL DR, TALLAHASSEE, FL 32308-4615
(850) 431-7801
(850) 431-7809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME58245
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267032100
—
FL
Enumeration date
02/15/2006
Last updated
06/15/2016
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