Claude Randall Fridley in Panama City - Medical
Claude Randall Fridley - NPI 1720243702
Claude Randall Fridley is a Medical in Panama City, Florida. Claude Randall Fridley practices all healthcare services and medical treatments related to Medical. The NPI Number for Claude Randall Fridley is 1720243702. The last update date is 2008-07-19.
Claude Randall Fridley's current location address is 644 Florida Ave, Panama City, Florida. You can contact this provider via phone number 8508960569 and fax number 8505229155. The mailing address for Claude Randall Fridley is 644 Florida Ave, Panama City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Claude Randall Fridley |
|---|---|
| Address | 644 Florida Ave, Panama City, Florida |
| Phone Number | 8508960569 |
| Fax Number | 8505229155 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1720243702 |
|---|---|
| Provider Enumeration Date | 2008-07-19 |
| Last Updated Date | 2008-07-19 |
Provider Mailing Address Detail
| Address | 644 Florida Ave |
|---|---|
| City | Panama City |
| State | Florida (FL) |
| Post Code | 324016354 |
| Phone Number | 8508960569 |
| Fax Number | 8505229155 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA 3018 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code issued to Claude Randall Fridley by the Centers for Medicare & Medicaid Services?
The Claude Randall Fridley has been assigned the NPI (National Provider Identifier) 1720243702 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Claude Randall Fridley?
The Claude Randall Fridley is situated at 644 Florida Ave, in the city of Panama City, state of FL, with the zip code 324016354.
What is Claude Randall Fridley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Claude Randall Fridley is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Claude Randall Fridley receive the assignment of its 1720243702 from the Centers for Medicare & Medicaid Services?
The Claude Randall Fridley was issued its 1720243702 by the Centers for Medicare & Medicaid Services on 2008-07-19.
When was the information pertaining to Claude Randall Fridley most recently updated or revised?
The details related to Claude Randall Fridley, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-19.
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