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NPI Code Detail

MEDICARE: MS. PAMELA CAROL MCFREDERICK CMSW

MEDICARE:  MS. PAMELA CAROL MCFREDERICK  CMSW
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
1104100000XSocial Worker1SW1663FL

General Provider Information

NPI Number : 1437119013
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAMELA CAROL MCFREDERICK CMSW
Provider Business Mailing Address
First Line : PO BOX 9183
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34985
Country : US
Telephone Number : 561-422-6870
Fax Number : 561-422-5309
Provider Business Practice Location Address
First Line : 7305 N MILITARY TRL
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33410-6400
Country : US
Telephone Number : 561-422-6870
Fax Number : 561-422-5309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 07/08/2007

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Directions to “ MS. PAMELA CAROL MCFREDERICK CMSW” Practice Location

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