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NPI Code Detail

MEDICARE: MEGAN ELIZABETH FRERICKS HAS

MEDICARE:   MEGAN ELIZABETH FRERICKS  HAS
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
1237700000XHearing Instrument Specialist
2237700000XHearing Instrument SpecialistAS4855FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225303274
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN ELIZABETH FRERICKS HAS
Provider Business Mailing Address
First Line : 851 BROKEN SOUND PARKWAY NW
Second Line : SUITE 120
City : BOCA RATON
State : FL
Zip : 33487-3638
Country : US
Telephone Number : 561-367-1623
Fax Number : 561-299-5438
Provider Business Practice Location Address
First Line : 13350 REFLECTIONS PARKWAY
Second Line : SUITE 4-402
City : FORT MEYERS
State : FL
Zip : 33907-6539
Country : US
Telephone Number : 239-936-1110
Fax Number : 239-437-9589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2012
Last Update Date : 10/30/2018

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Directions to “ MEGAN ELIZABETH FRERICKS HAS” Practice Location

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