Individual
DR. CLAUDINE FREDERIKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2018 DEL PRADO BLVD S, CAPE CORAL, FL 33990-4562
(239) 574-8880
(844) 388-6186
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(727) 322-3439
(800) 928-7449
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD418450
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME118563
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001948554
—
PA
01
—
P00799005
RAILROAD MEDICARE
PA
Enumeration date
04/11/2006
Last updated
08/10/2022
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