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Individual

ELAINE PRENKOWITZ-FREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2814 14TH AVE SE, RUSKIN, FL 33570-5471
(813) 349-7800
(813) 349-7871
Mailing address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7568
(813) 349-7561

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
100248
CO

Other

Enumeration date
09/25/2006
Last updated
11/30/2011
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