Individual
DR. WILLIAM H FREDRIKSSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1921 WALDEMERE ST STE 310, SARASOTA, FL 34239-2941
(941) 917-5400
(941) 917-5420
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
M8037
ID
208800000X
Urology Physician
Primary
ME154478
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010153906
BS MERIDIAN
ID
01
—
000010153908
BS NAMPA
ID
01
—
76706
BC MERIDIAN
ID
05
—
805784300
—
ID
01
—
B5442
BC NAMPA
ID
01
—
P00288611
RR MEDICARE
ID
Enumeration date
10/21/2005
Last updated
01/31/2022
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