Individual
FREDERICK JAY FRICKER
Active
Individual
FREDERICK JAY FRICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME74330
FL
2080P0202X
Pediatric Cardiology Physician
Primary
ME74330
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000748888A
—
GA
05
—
378890300
—
FL
Enumeration date
04/01/2006
Last updated
01/24/2017
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