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Contact Information

BRYAN D FREDRICK, MD
121 S CITRUS AVE
INVERNESS, FL34452
 Phone: 352-341-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for BRYAN D FREDRICK · (Male)

NPI Number 1528124088
Status Active
Credentials MD
Entity Individual
Enumeration date 12/29/2006
Last updated 02/01/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME0031083
  • FL Medicaid 067905499
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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