MEDICARE: FRITZ PLUVIOSE M.D.

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	207R00000X	Internal Medicine Physician	ME98207	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	:	1164466405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRITZ PLUVIOSE M.D.

Provider Business Mailing Address
First Line	:	7177 LOUISIANE CT
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-6473
Country	:	US
Telephone Number	:	401-486-4993
Fax Number	:

Provider Business Practice Location Address
First Line	:	2160 W ATLANTIC AVE FL 1
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-4660
Country	:	US
Telephone Number	:	561-425-8888
Fax Number	:	855-878-2200

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	03/02/2020

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