Organization
HIBISCUS MEDICAL PLLC
Active
Organization
HIBISCUS MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRALEE B FREDERICK MD (OWNER, PHYSICIAN)
(347) 228-0719
Entity
Organization
Contact information
Practice address
430 GALLOWAY ST NE STE A, WASHINGTON, DC 20011-6312
(202) 350-1546
Mailing address
430 GALLOWAY ST NE STE A, WASHINGTON, DC 20011-6312
(202) 350-1546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085010500
—
DC
05
—
124113300
—
MD
Enumeration date
07/03/2020
Last updated
03/11/2022
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