person
Cameron Frederick, MD
Student in an Organized Health Care Education/Training Program in The Villages, Florida
NPI 1144740150

Cameron Frederick is a Student in an Organized Health Care Education/Training Program based in The Villages, FL. Cameron Frederick practices in The Villages, FL and has the professional credentials of MD. The NPI Number for Cameron Frederick is 1144740150 and holds a License No. ME141736 (Florida).

The current practice location address for Cameron Frederick is 1580 Santa Barbara Blvd, The Villages, FL and can be reached out via phone at 352-259-2159.

Location: 1580 Santa Barbara Blvd, The Villages, FL, 32159-6827
person
Provider Profile Details
NPI Number
1144740150
Provider Name
Cameron Frederick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1580 Santa Barbara Blvd, The Villages, FL, 32159-6827
Phone Number
352-259-2159
Fax Number
Provider Enumeration Date
06/21/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
L4538 01 FL PTAN
institution
Provider Business Practice Location Address Details
Address
1580 Santa Barbara Blvd
City
State
Zip
32159-6827
Phone Number
352-259-2159
Fax Number
person
Provider Business Mailing Address Details
Address
1580 Santa Barbara Blvd
City
State
Zip
32159-6827
Phone Number
352-259-2159
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
ME141736 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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