Individual
FENTON E FROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1503 W OAK ST, KISSIMMEE, FL 34741-4065
(800) 330-1984
(407) 847-5137
Mailing address
9007 SHAWN PARK PL, ORLANDO, FL 32819-4830
(407) 909-0351
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
ME36200
FL
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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