Individual
FREDERICK J A FONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 SHERIDAN ST STE C, HOLLYWOOD, FL 33021
(954) 961-3252
(954) 678-3007
Mailing address
3974 SW 141ST AVE, DAVIE, FL 33330-5721
(787) 409-7138
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
130497
FL
207RR0500X
Rheumatology Physician
6003
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29213F0
TRICARE
—
01
—
602287
MMM
—
01
—
602297
MMM
—
01
—
D66171
BC
—
Enumeration date
11/16/2006
Last updated
03/08/2019
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