Paul Austin Fredrickson in Jacksonville - Psychiatry
Paul Austin Fredrickson - NPI 1922098771
Paul Austin Fredrickson is a Psychiatry in Jacksonville, Florida. Paul Austin Fredrickson practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Paul Austin Fredrickson is 1922098771. The last update date is 2013-01-21.
Paul Austin Fredrickson's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Paul Austin Fredrickson is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Austin Fredrickson |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922098771 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2013-01-21 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | ME74792 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 700005994 | FL | RAILROAD MEDICARE | |
| 5863 | FL | BLUECROSS/BLUESHIELD |
Post Comment/ Review Below
What is the Paul Austin Fredrickson's 1922098771?
The Paul Austin Fredrickson's NPI (National Provider Identifier) Number is 1922098771. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Paul Austin Fredrickson located?
The Paul Austin Fredrickson is located at 4500 San Pablo Rd S, Jacksonville, FL 322241865.
What is the area of specialization for Paul Austin Fredrickson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Paul Austin Fredrickson is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922098771 to Paul Austin Fredrickson?
The Centers for Medicare & Medicaid Services assigned the 1922098771 to Paul Austin Fredrickson on 2005-10-24.
As of what date was the information pertaining to Paul Austin Fredrickson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Paul Austin Fredrickson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-01-21.