Individual
FREDRIC CHARLES WOLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 SW 15TH AVE, OCALA, FL 34474-3548
(352) 671-4300
(352) 671-4393
Mailing address
PO BOX 6200, OCALA, FL 34478-6200
(352) 671-4300
(352) 671-4393
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME41455
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069894600
—
FL
Enumeration date
10/06/2005
Last updated
07/08/2007
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