Fraustro, Felix Scott

Fraustro, Felix Scott is an individual health care provider with primary practice located at 2400 State Road 415 , Sanford FL 32771-6012. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Fraustro, Felix Scott can be contacted via phone (407) 322-8645.

Contact Information

Primary practice address
2400 State Road 415 Sanford FL 32771-6012
Fax: (407) 322-8725
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP3015132 Florida

Profile Details

NPI number 1720033962
LBN Legal business name Fraustro, Felix Scott
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Mar 13th, 2013 - about 11 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 1720033962 NPPES
Florida MEDICAID 000112900
Florida Other 01222690
Florida Other 290900

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