Individual
WILLIAM ALAN FREDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPO
Contact information
Practice address
966 US HIGHWAY 1, ROCKLEDGE, FL 32955-2128
(321) 638-0262
(321) 638-4559
Mailing address
966 US HIGHWAY 1, ROCKLEDGE, FL 32955-2128
(321) 638-0262
(321) 638-4559
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
POR85
FL
222Z00000X
Orthotist
POR85
FL
Other
Enumeration date
10/02/2012
Last updated
11/02/2012
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