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NPI Code Detail

MEDICARE: DANA J KEYS-FREZZELL M.D.

MEDICARE: DANA J KEYS-FREZZELL M.D.
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
1207R00000XInternal Medicine Physician0101241896VA

General Provider Information

NPI Number : 1215934906
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA J KEYS-FREZZELL M.D.
Provider Business Mailing Address
First Line : 1395 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33169-5710
Country : US
Telephone Number : 757-533-9441
Fax Number :
Provider Business Practice Location Address
First Line : 549 E BRAMBLETON AVE
Second Line :
City : NORFOLK
State : VA
Zip : 23510-2905
Country : US
Telephone Number : 757-533-9441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 03/25/2020

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