Porcase, Frederic Frank
Porcase, Frederic Frank is an individual health care provider with primary practice located at 14011 Beach Blvd Suite 120, Jacksonville Beach FL 32250-1507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Porcase, Frederic Frank can be contacted via phone (904) 223-6400.Contact Information
Primary practice address
14011 Beach Blvd Suite 120
Jacksonville Beach FL 32250-1507
Phone: (904) 223-6400
Fax: (904) 223-6420
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS3927 | Florida |
Profile Details
NPI number | 1376569350 |
---|---|
LBN Legal business name | Porcase, Frederic Frank |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 14th, 2006 |
Last updated | Aug 7th, 2017 - about 7 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 | 1376569350 | NPPES |
Florida | MEDICAID | 040812300 | |
Florida | Other | 080148957 |
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