Healthcare Provider Details

I. General information

NPI: 1740246891
Provider Name (Legal Business Name): DANINE S FRUGE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 01/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13901 US HIGHWAY 1 SUITE 5
JUNO BEACH FL
33408-1612
US

IV. Provider business mailing address

13901 US HIGHWAY 1 SUITE 5
JUNO BEACH FL
33408-1612
US

V. Phone/Fax

Practice location:
  • Phone: 561-630-0840
  • Fax:
Mailing address:
  • Phone: 561-630-0840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME87007
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: