Individual
FREDERICK B EPSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1326 COUNTRY CLUB DR, LYNN HAVEN, FL 32444-1974
(850) 265-1769
(850) 265-1769
Mailing address
1326 COUNTRY CLUB DR, LYNN HAVEN, FL 32444-1974
(850) 265-1769
(850) 265-1769
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME44447
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069269700
—
FL
01
—
606478700
DOL GRP#
FL
01
—
94361
BCBSF GRP# 98513
FL
01
—
ME44447
LICENSE
FL
Enumeration date
07/08/2005
Last updated
09/02/2009
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