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Individual

MICHAEL P DEFRAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2400 HARBOR BLVD STE 7, PORT CHARLOTTE, FL 33952-5038
(941) 766-5095
(941) 206-0326
Mailing address
2400 HARBOR BLVD STE 7, PORT CHARLOTTE, FL 33952-5038
(941) 766-5095
(941) 206-0326

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME104727
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001197800
FL
01
P01281027
RR MEDICARE
FL
Enumeration date
03/09/2006
Last updated
02/08/2026
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