MEDICARE: JESSICA FRONRATH ARNP

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
1	363LP0200X	Pediatric Nurse Practitioner	ARNP3172692	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1295724854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA FRONRATH ARNP

Provider Business Mailing Address
First Line	:	900 S PINE ISLAND RD
Second Line	:	SUITE 800
City	:	PLANTATION
State	:	FL
Zip	:	33324-3920
Country	:	US
Telephone Number	:	954-967-6400
Fax Number	:	954-967-6410

Provider Business Practice Location Address
First Line	:	1017 N STATE ROAD 7
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-5117
Country	:	US
Telephone Number	:	561-798-9417
Fax Number	:	561-798-9419

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	03/14/2014

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