Fru Che, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Gainesville, FL
NPI 1093343006 · NPPES record last updated Oct 3, 2021
Key facts
- NPI
- 1093343006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1600 SW Archer Road, #100129
Gainesville, FL 32610-6511 - Phone
- (352) 594-7555
- NPI assigned
- Mar 27, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230616003131 | FL | Order and Referring Only - Internal Medicine |
0446618896 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1600 SW Archer Road, #100129
Gainesville, FL 32610-6511
Mailing address
1940 Wellesley Dr
Detroit, MI 48203-1429
Other providers in Gainesville, FL
- Ma Luz Prias Chavez
- Ricardo Chavez
- Elyse Marie Chaviano
- CHC of Gainesville, LLC
- Mabel Mambo Che-Tuma
- Tram Thi Thu Che
- Victoria Larranaga Cheatwood
- Mohamad Chehab
- Charlaine Chen
- Connie Chen
All providers in Gainesville, FL · Student in an Organized Health Care Education/Training Program in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.