Individual
FREDERICK HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2727 WINKLER AVE, FORT MYERS, FL 33901-9358
(239) 939-8434
Mailing address
2317 SW 43RD LN, CAPE CORAL, FL 33914-3500
(239) 945-1890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101624
FL
Other
Enumeration date
02/03/2006
Last updated
01/18/2008
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