Individual provider · Type 1 NPI

Cara Fredericks

Student in an Organized Health Care Education/Training Program · Tampa, FL

NPI number 1689400418 Active

Practice location

12901 Bruce B Downs Blvd
Tampa, FL 33612-4742

Mailing address

5445 Kings Mont Dr
Lakeland, FL 33813-3242

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689400418

Cara Fredericks's National Provider Identifier is 1689400418, issued on Sep 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tampa, FL. The record was last updated on Sep 9, 2024.