MEDICARE: ANNA M MUIR-FRAKER RD

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	133V00000X	Registered Dietitian	ND354	FL

General Provider Information

NPI Number	:	1548286784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA M MUIR-FRAKER RD

Provider Business Mailing Address
First Line	:	2900 CORPORATE WAY
Second Line	:	DOOR D
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3925
Country	:	US
Telephone Number	:	954-276-5685
Fax Number	:	954-985-7074

Provider Business Practice Location Address
First Line	:	2719 HOLLYWOOD BLVD # L246
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4821
Country	:	US
Telephone Number	:	954-655-3455
Fax Number	:

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	10/23/2024

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Directions to “ ANNA M MUIR-FRAKER RD” Practice Location

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