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DR CHARLES A FRARACCIO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES A FRARACCIO MD (ORTHOPAEDIC SURGEON)
(772) 286-4100
Entity
Organization

Contact information

Practice address
2150 SE SALERNO RD SUITE 110, STUART, FL 34997
(772) 286-4100
(772) 223-5749
Mailing address
2150 SE SALERNO RD SUITE 110, STUART, FL 34997
(772) 286-4100
(772) 223-5749

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME32708
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
069200000
FL
Enumeration date
04/09/2008
Last updated
04/09/2008
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