FREDERICK HALL

FORT MYERS, FL
NPI1235101270
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9101624)
Enumeration Date2006-02-03
Last Update Date2008-01-18
Business Address
-- FREDERICK HALL PA
2727 WINKLER AVE
FORT MYERS, FL 33901-9358
Phone number: 239-939-8434
Mailing Address
-- FREDERICK HALL PA
2317 SW 43RD LN
CAPE CORAL, FL 33914-3500
Phone number: 239-945-1890
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