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Individual

DR. GEOFFREY MICHAEL FRAICHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2197
(786) 594-9251
Mailing address
2618 BAY ST, GULF BREEZE, FL 32563-3006
(504) 388-6517

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
202219
LA
207V00000X
Obstetrics & Gynecology Physician
ME128480
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1005452
LA
Enumeration date
10/04/2007
Last updated
07/22/2021
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