Healthcare Provider Details

I. General information

NPI: 1831487255
Provider Name (Legal Business Name): FRYE MEDICAL GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2011
Last Update Date: 07/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 HERITAGE DR STE 455
JUPITER FL
33458-2777
US

IV. Provider business mailing address

61 PINEHILL TRL W
TEQUESTA FL
33469-2158
US

V. Phone/Fax

Practice location:
  • Phone: 561-601-9393
  • Fax: 561-746-1522
Mailing address:
  • Phone: 561-601-9393
  • Fax: 561-746-1522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberME0070655
License Number StateFL

VIII. Authorized Official

Name: DR. DARRIN LYLE FRYE
Title or Position: PRESIDENT
Credential: MD
Phone: 561-601-9393