Addison, Frederick

Addison, Frederick is an sole proprietor health care provider with primary practice located at 421 Se Osceola St , Stuart FL 34994-2505. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Addison, Frederick can be contacted via phone (772) 286-0338.

Contact Information

Primary practice address
421 Se Osceola St Stuart FL 34994-2505
Phone: (772) 286-0338
Fax: (772) 287-1139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP3108022 Florida

Profile Details

NPI number 1447262225
LBN Legal business name Addison, Frederick
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2006
Last updated Jul 28th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447262225 NPPES
Florida Other G2750 BCBS OF FLORIDA
Florida MEDICAID 307900700 BCBS OF FLORIDA

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