Frederick, Cameron
Frederick, Cameron is an individual health care provider with primary practice located at 1580 Santa Barbara Blvd , The Villages FL 32159-6827. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Frederick, Cameron can be contacted via phone (352) 259-2159.Contact Information
Primary practice address
1580 Santa Barbara Blvd
The Villages FL 32159-6827
Phone: (352) 259-2159
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME141736 | Florida |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1144740150 |
---|---|
LBN Legal business name | Frederick, Cameron |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2017 |
Last updated | Feb 13th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144740150 | NPPES |
Florida | Other | L4538 | PTAN |
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