Walter B Frady in St Augustine - Internal Medicine
Walter B Frady - NPI 1255361382
Walter B Frady is a Internal Medicine in St Augustine, Florida. Walter B Frady practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Walter B Frady is 1255361382. The last update date is 2010-01-08.
Walter B Frady's current location address is 16 St Johns Medical Park Dr, St Augustine, Florida. You can contact this provider via phone number 9047945411 and fax number 9077944224. The mailing address for Walter B Frady is 16 St Johns Medical Park Dr, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter B Frady |
|---|---|
| Address | 16 St Johns Medical Park Dr, St Augustine, Florida |
| Phone Number | 9047945411 |
| Fax Number | 9077944224 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255361382 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2010-01-08 |
Provider Mailing Address Detail
| Address | 16 St Johns Medical Park Dr |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320865299 |
| Phone Number | 9047945411 |
| Fax Number | 9077944224 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | ME66290 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26762 | BLUE CROSS/SHIELD | ||
| 377674300 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Walter B Frady by the Centers for Medicare & Medicaid Services?
The Walter B Frady has been issued the NPI (National Provider Identifier) 1255361382 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Walter B Frady's facilities are geographically located?
The facilities of Walter B Frady are physically situated at the following location: 16 St Johns Medical Park Dr, St Augustine, FL, 320865299.
What is Walter B Frady's specialized field of practice, and what is the corresponding taxonomy classification code?
The Walter B Frady's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
When did Walter B Frady receive its 1255361382 assignment?
The Walter B Frady was assigned its 1255361382 on 2006-07-04, which is the date when this unique identifier was issued to the organization.
When was the information regarding Walter B Frady, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Walter B Frady, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-01-08.
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