Frostproof Medical and Surgical Center PA

Organization Active NPI Surgery Physician · Frostproof, FL

NPI 1659674232 · NPPES record last updated Dec 21, 2010

Key facts

NPI
1659674232
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
License
ME0033487 (FL)
Legal business name
FROSTPROOF MEDICAL AND SURGICAL CENTER PA
Practice address
45 Devane St
Frostproof, FL 33843-2017
Phone
(813) 685-2191
Fax
(813) 689-8755
NPI assigned
Dec 21, 2010
Organization subpart
No

Authorized official

Name
Mrs. Peggy Vent
Title
Billing Representative
Phone
(813) 685-2191

National Provider Directory

Locations

45 Devane St
Frostproof, FL 33843
Phone (863) 635-5050

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208600000X ME0033487 FL Yes

Addresses

Primary practice location

45 Devane St
Frostproof, FL 33843-2017

Mailing address

45 Devane St
Frostproof, FL 33843-2017
Phone (813) 685-2191

Other providers in Frostproof, FL

All providers in Frostproof, FL · Surgery Physician in Florida

Sources for this page

Verify at the official NPI Registry.