Individual
MICHAEL E FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8255 COLLEGE PKWY, STE 100, FORT MYERS, FL 33919-5119
(239) 437-8000
(239) 437-9991
Mailing address
PO BOX 07400, FORT MYERS, FL 33919-0391
(239) 437-8000
(239) 437-9991
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
ME89291
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME89291
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056302100
—
FL
01
—
37503
BCBSF
—
01
—
4457197
AETNA
—
Enumeration date
10/06/2005
Last updated
01/14/2015
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