Individual
DR. FABIOLA DUTES FAIRGRIEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. J.D.
Contact information
Practice address
109 W WALL ST, FROSTPROOF, FL 33843-2043
(866) 234-8534
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(866) 234-8534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME76925
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118611000
—
FL
Enumeration date
05/14/2008
Last updated
09/10/2025
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