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NPI Code Detail

MEDICARE: CHRISTIAN FRASER

MEDICARE:   CHRISTIAN  FRASER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1053257766
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIAN FRASER
Provider Business Mailing Address
First Line : 4434 WINDERWOOD CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32835-2636
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4434 WINDERWOOD CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32835-2636
Country : US
Telephone Number : 407-757-6097
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2026
Last Update Date : 04/25/2026

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Directions to “ CHRISTIAN FRASER ” Practice Location

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