Individual
DR. ROBERTO J FRAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
212 LAKE REGION BLVD SOUTH, WINTER HAVEN, FL 33881-9566
(863) 324-9631
Mailing address
212 LAKE REGION BLVD S, WINTER HAVEN, FL 33881-9566
(863) 324-9631
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME37101
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0397229-00
—
FL
Enumeration date
02/16/2006
Last updated
03/31/2009
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