Individual
JUSTIN FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 N MACARTHUR AVE, PANAMA CITY, FL 32401-3636
(850) 769-2158
Mailing address
504 N MACARTHUR AVE, PANAMA CITY, FL 32401-3636
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11003590
FL
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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