Individual
DR. FREDERICK L FITZGERALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-8560
(941) 917-2675
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 121744
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014288600
—
FL
01
—
OH739
MEDICARE
FL
Enumeration date
03/17/2006
Last updated
09/19/2022
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