Fraile, Roberto J
Fraile, Roberto J is an individual health care provider with primary practice located at 212 Lake Region Blvd South , Winter Haven FL 33881-9566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Fraile, Roberto J can be contacted via phone (863) 324-9631.Contact Information
Primary practice address
212 Lake Region Blvd South
Winter Haven FL 33881-9566
Phone: (863) 324-9631
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ME37101 | Florida |
Profile Details
| NPI number | 1841264595 |
|---|---|
| LBN Legal business name | Fraile, Roberto J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Mar 31st, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841264595 | NPPES |
| Florida | MEDICAID | 0397229-00 |
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