Individual
CAITLIN R. FREDERICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 LAKE MIRIAM DR STE S1, LAKELAND, FL 33813-2188
(863) 647-2333
(863) 393-1995
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9463648
FL
Other
Enumeration date
05/29/2018
Last updated
07/15/2019
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