Individual
MR. COREY BRIAN FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACPNP
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-5651
(239) 343-5652
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-5651
(239) 343-5652
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN139407
GA
363LP0200X
Pediatric Nurse Practitioner
139407
GA
363LP0200X
Pediatric Nurse Practitioner
752986
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11021392
FL
363LP0222X
Critical Care Pediatric Nurse Practitioner
752986
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115641100
—
FL
Enumeration date
04/04/2006
Last updated
04/05/2023
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