Organization
BRYAN D FREDRICK MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN D FREDRICK MD (OWNER)
(352) 726-9457
Entity
Organization
Contact information
Practice address
1409 S WATERVIEW DR, INVERNESS, FL 34450-3585
(352) 726-9457
Mailing address
PO BOX 609, INVERNESS, FL 34451-0609
(352) 725-6945
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME31083
FL
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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