MEDICARE: MRS. LENETTE FREDERICK

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	171W00000X	Contractor	CHA0607-57-03	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	:	1821263195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LENETTE FREDERICK

Provider Business Mailing Address
First Line	:	18921 NW 7TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33169-3803
Country	:	US
Telephone Number	:	305-770-1734
Fax Number	:	305-653-8558

Provider Business Practice Location Address
First Line	:	18921 NW 7TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33169-3803
Country	:	US
Telephone Number	:	305-770-1734
Fax Number	:	305-653-8558

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

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	04/28/2008

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1780564799 — YOSLENIS GARABOTE ALVAREZ
Practice Location Address:

18911 NW 7TH CT STE 1083
MIAMI, FL
33169-3803

Practice Phone: 786-490-6307
Practice Fax:

1427554427 — MEYLI LOPEZ
Practice Location Address:

10201 SW 33RD ST
MIAMI, FL
33165-3803

Practice Phone: 786-925-1831
Practice Fax:

1659080489 — ILIANNI DIAZ PENA
Practice Location Address:

18025 NW 17TH AVE
MIAMI GARDENS, FL
33056-3803

Practice Phone: 786-656-2965
Practice Fax:

1255104741 — MAYDELIN VIERA SANCHEZ
Practice Location Address:

6881 SW 28TH ST
MIAMI, FL
33155-3803

Practice Phone: 786-314-4823
Practice Fax:

1003654211 — YAREMY CARIDAD ORTIZ RIVERO
Practice Location Address:

12033 SW 105TH LN
MIAMI, FL
33186-3803

Practice Phone: 239-850-6175
Practice Fax:

Directions to “ MRS. LENETTE FREDERICK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.