Fridley, Donald Robert

Fridley, Donald Robert is an individual health care provider with primary practice located at 7541 Medical Drive , Hudson FL 34667-6502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fridley, Donald Robert can be contacted via phone (727) 819-9107.

Contact Information

Primary practice address
7541 Medical Drive Hudson FL 34667-6502
Phone: (727) 819-9107
Fax: (727) 819-9138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OTO14323 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X OS13614 Florida

Profile Details

NPI number 1548555691
LBN Legal business name Fridley, Donald Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2011
Last updated Jul 19th, 2021 - about 5 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 1548555691 NPPES
Florida MEDICAID 017833400

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