Freddie L Mcrae in St. Petersburg - Specialist

Freddie L Mcrae - NPI 1205825353

Freddie L Mcrae is a Specialist in St. Petersburg, Florida. Freddie L Mcrae practices all healthcare services and medical treatments related to Specialist. The NPI Number for Freddie L Mcrae is 1205825353. The last update date is 2010-04-22.

Freddie L Mcrae's current location address is 603 7th Street South, St. Petersburg, Florida. You can contact this provider via phone number 7278936500 and fax number 7278936503. The mailing address for Freddie L Mcrae is 603 7th Street South, St. Petersburg, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Freddie L Mcrae
Address 603 7th Street South, St. Petersburg, Florida
Phone Number 7278936500
Fax Number 7278936503
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1205825353
Provider Enumeration Date 2005-10-20
Last Updated Date 2010-04-22

Provider Mailing Address Detail

Address 603 7th Street South
City St. Petersburg
State Florida (FL)
Post Code 337014734
Phone Number 7278936500
Fax Number 7278936503

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No ME28142
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
208600000X FL TAXONOMY
38137300 FL --

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FAQs about Freddie L Mcrae

What is the unique 10-digit identification code issued to Freddie L Mcrae by the Centers for Medicare & Medicaid Services?

The Freddie L Mcrae has been assigned the NPI (National Provider Identifier) 1205825353 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Freddie L Mcrae is geographically located?

The Freddie L Mcrae is physically situated at the following location: 603 7Th Street South, St. Petersburg, FL, 337014734.

What is the area of specialization for Freddie L Mcrae, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Freddie L Mcrae is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date was the 1205825353 assigned to Freddie L Mcrae?

The Freddie L Mcrae was issued its 1205825353 on 2005-10-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Freddie L Mcrae, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Freddie L Mcrae, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-04-22.

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