THOMAS FREDERICKS

ORANGE PARK, FL
NPI1811525108
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-31
Last Update Date2020-05-06
Business Address
THOMAS FREDERICKS DO
2001 KINGSLEY AVE
ORANGE PARK, FL 32073-5148
Phone number: 904-639-8500
Mailing Address
THOMAS FREDERICKS DO
2001 KINGSLEY AVE
ORANGE PARK, FL 32073-5148
Phone number: 904-639-8500
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