Individual
DR. FREDERICK M. KEROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 987-2000
(954) 985-3453
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME26979
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068434100
—
FL
01
—
930094424
RAILROAD MEDICARE
FL
01
—
96346
BLUE SHIELD
FL
Enumeration date
07/08/2006
Last updated
07/08/2007
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