Individual
ANEL FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1322 SW 74TH AVE, NORTH LAUDERDALE, FL 33068-3609
(954) 899-6880
Mailing address
1322 SW 74TH AVE, NORTH LAUDERDALE, FL 33068-3609
(954) 899-6880
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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