Organization
FRAZEL HISTO-PATH LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN S FRAZEL ART (CAN) (PRESIDENT)
(954) 474-1349
Entity
Organization
Contact information
Practice address
12500 S W 12 STREET, DAVIE, FL 33325-4420
(954) 474-1349
Mailing address
12500 S W 12 STREET, DAVIE, FL 33325-4420
(954) 474-1349
Taxonomy
Speciality
Code
Description
License number
State
246QH0600X
Histology Specialist/Technologist
Primary
10D0285627
FL
Other
Enumeration date
02/05/2007
Last updated
09/09/2008
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