Individual
DR. FREDDIE L MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
603 7TH STREET SOUTH, SUITE 520, ST. PETERSBURG, FL 33701-4734
(727) 893-6500
(727) 893-6503
Mailing address
603 7TH STREET SOUTH, SUITE 520, ST. PETERSBURG, FL 33701-4734
(727) 893-6500
(727) 893-6503
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME28142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038137300
—
FL
01
—
208600000X
TAXONOMY
FL
Enumeration date
10/20/2005
Last updated
04/22/2010
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