Individual
FREDERICK JAY FRICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-7770
(352) 392-0547
Mailing address
8309 SW 39TH PL, GAINESVILLE, FL 32608-3640
(352) 273-7770
(352) 392-0547
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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