Individual
JAMES R FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7934
(561) 737-7733
Mailing address
4821 S LAKE DR, BOYNTON BEACH, FL 33436-5910
(561) 369-1998
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME44458
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME44458
MEDICAL LICENSE
FL
Enumeration date
06/08/2006
Last updated
09/05/2008
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