Frick, Gary William
Frick, Gary William is an sole proprietor health care provider with primary practice located at 790 Dunlawton Avenue Suite J, Port Orange FL 32127-4222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Frick, Gary William can be contacted via phone (386) 767-8584.Contact Information
Primary practice address
790 Dunlawton Avenue Suite J
Port Orange FL 32127-4222
Phone: (386) 767-8584
Fax: (386) 767-8536
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME73316 | Florida |
Profile Details
NPI number | 1962548552 |
---|---|
LBN Legal business name | Frick, Gary William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 30th, 2007 |
Last updated | Feb 10th, 2014 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962548552 | NPPES |
Florida | MEDICAID | 252667100 |
Popular Providers
-
Grissett, Kathleen Brewer
165 Wells Rd Suite 408, Orange Park FL 32073-3035 -
Tikku, Sunita
1061 Medical Center Dr Ste 205 , Orange City FL 32763-8226 -
Colucci, Robert Daniel
740 Dunlawton Ave , Port Orange FL 32127-4239 -
Veneracion-Yumul, Anna-Marie Malazarte
1409 Kingsley Ave Ste 9E, Orange Park FL 32073-4537 -
Rivera, Edmundo I
296 Treemont Dr , Orange City FL 32763-7945 -
Forbes, Anika C
1560 Kingsley Ave Ste 2 , Orange Park FL 32073-9200 -
Garsha, Larry Steven
2858 Country Club Blvd , Orange Park FL 32073-5728 -
Larson, James Lionel
1543 Kingsley Ave Bldg 14, Orange Park FL 32073-4535