Fraser, Wayne Jeffrey

Fraser, Wayne Jeffrey is an individual health care provider with primary practice located at 3001 Nw 49Th Ave Ste 100 , Lauderdale Lakes FL 33313-7257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fraser, Wayne Jeffrey can be contacted via phone (954) 983-9191.

Contact Information

Primary practice address
3001 Nw 49Th Ave Ste 100 Lauderdale Lakes FL 33313-7257
Phone: (954) 983-9191
Fax: (954) 983-1152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0057260 Florida

Profile Details

NPI number 1447352588
LBN Legal business name Fraser, Wayne Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Mar 13th, 2024 - about last year

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 1447352588 NPPES
Florida MEDICAID 051892100

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