Individual
DOUGLAS HOLMES FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 W LAKEVIEW AVE, PENSACOLA, FL 32501-1836
(850) 469-3500
(850) 595-1400
Mailing address
1221 W LAKEVIEW AVE, PENSACOLA, FL 32501-1836
(850) 469-3500
(850) 595-1400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME54293
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104589500
—
FL
Enumeration date
10/16/2006
Last updated
01/14/2021
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