Individual
KEVIN GREGORY FRAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 MICCOSUKEE RD, BIXLER EMERGENCY CENTER, TALLAHASSEE, FL 32308-5054
(850) 431-0756
(850) 431-0779
Mailing address
1300 MICCOSUKEE RD, BIXLER EMERGENCY CENTER, TALLAHASSEE, FL 32308-5054
(850) 431-0756
(850) 431-0779
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L9199
TX
207P00000X
Emergency Medicine Physician
ME93591
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273058800
—
FL
Enumeration date
04/21/2006
Last updated
12/06/2022
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