Frick, Gary William

Frick, Gary William is an sole proprietor health care provider with primary practice located at 790 Dunlawton Avenue Suite J, Port Orange FL 32127-4222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Frick, Gary William can be contacted via phone (386) 767-8584.

Contact Information

Primary practice address
790 Dunlawton Avenue Suite J Port Orange FL 32127-4222
Phone: (386) 767-8584
Fax: (386) 767-8536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME73316 Florida

Profile Details

NPI number 1962548552
LBN Legal business name Frick, Gary William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Feb 10th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962548552 NPPES
Florida MEDICAID 252667100

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