Michelle Fredrick, LPN is a
Licensed Practical Nurse based in Gotha, Florida. Michelle Fredrick is licensed to practice in Florida (license number PN1331581) and her current practice location is
9259 Lake Fischer Blvd, Gotha, Florida. She can be reached at her office (for appointments etc.) via phone at
(407) 346-2585.
NPI number for Michelle Fredrick is 1871189977 and her current mailing address is 9259 Lake Fischer Blvd, Gotha, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871189977.
Provider's Profile
Full Name | Michelle Fredrick |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 9259 Lake Fischer Blvd, Gotha, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871189977
- Provider Enumeration Date: 12/14/2020
- Last Update Date: 12/14/2020
Medical Identifiers
Medical identifiers for Michelle Fredrick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871189977 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN1331581 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Fredrick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michelle Fredrick, LPN 9259 Lake Fischer Blvd, Gotha, FL 34734-5204 Ph: (407) 346-2585 | Michelle Fredrick, LPN 9259 Lake Fischer Blvd, Gotha, FL 34734-5204 Ph: (407) 346-2585 |
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