Individual
DR. FREDERIC FRANK PORCASE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14011 BEACH BLVD, SUITE 120, JACKSONVILLE BEACH, FL 32250-1507
(904) 223-6400
(904) 223-6420
Mailing address
7855 ARGYLE FOREST BLVD., STE. 101, JACKSONVILLE, FL 32244-5597
(904) 282-6331
(904) 282-4117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS3927
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040812300
—
FL
01
—
080148957
MEDICARE RAILROAD
FL
Enumeration date
07/14/2006
Last updated
08/07/2017
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