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Contact Information

JENNIFER FREDERICKS, MD
@ COLUMBIA DRIVE
J402
TAMPA, FL33606
 Phone: 813-844-7412
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JENNIFER FREDERICKS · (Female)

NPI # 1861686123
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2007
Last updated 09/23/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME106514
  • FL Medicaid 002280100
  • FL Other 148MZ FL BCBS
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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