Thomas Fredericks, DO is a student in an organized health care education training program in Orange Park, FL. The provider is 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. Thomas Fredericks, DO NPI is 1811525108. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2001 KINGSLEY AVE
ORANGE PARK, FL
ZIP 32073-148
Phone: (904) 639-8500
The NPI 1811525108 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/31/2020 and was last updated on 5/6/2020.