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RONALD ERIC PRENTIS FRENKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
509 SE RIVERSIDE DR, SUITE 302, STUART, FL 34994-2579
(772) 287-9000
(772) 287-0507
Mailing address
PO BOX 896, STUART, FL 34995-0896
(772) 287-9000
(772) 287-0507

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME51202
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07791
BCBS OF FLORIDA
FL
01
180007295
RAILROAD MEDICARE NUMBER
01
1984148
FIRST HEALTH
01
5044106
CCN
Enumeration date
08/09/2006
Last updated
09/12/2018
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