Individual
DR. DAVID WAYNE FRASURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1690 RAYMOND DIEHL RD, SUITE B3, TALLAHASSEE, FL 32308-1588
(850) 224-4268
(850) 224-4212
Mailing address
1690 RAYMOND DIEHL RD, SUITE B3, TALLAHASSEE, FL 32308-1588
(850) 224-4268
(850) 224-4212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0003193
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88390
BLUE CROSS BLUE SHIELD
FL
01
—
CH0003193
STATE LICENSE
FL
01
—
K8548
GROUP
FL
01
—
T55808
PIN
FL
Enumeration date
03/13/2007
Last updated
07/08/2007
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