Individual
DR. JOHN ALEXANDER FRUTCHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2307 OXFORD CT, SAFETY HARBOR, FL 34695-5622
(727) 725-3865
Mailing address
2307 OXFORD CT, SAFETY HARBOR, FL 34695-5622
(727) 725-3865
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME61534
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101038132
MEDICAL LICENSE
VA
01
—
ME61534
MEDICAL LICENSE
FL
Enumeration date
09/26/2006
Last updated
07/08/2007
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