Healthcare Provider Details

I. General information

NPI: 1932376282
Provider Name (Legal Business Name): FABIOLA DUTES FAIRGRIEVE M.D. J.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 W WALL ST
FROSTPROOF FL
33843-2043
US

IV. Provider business mailing address

47 5TH ST NW
WINTER HAVEN FL
33881-4672
US

V. Phone/Fax

Practice location:
  • Phone: 866-234-8534
  • Fax:
Mailing address:
  • Phone: 866-234-8534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME76925
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: