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Search › Florida › 1223G0001X

Waynerd Frederickson, D.D.S

NPI 1750669420 · on the registry since 2011 · sole proprietor

Practice

Address
6092 Se Federal Hwy
Stuart, FL 34997
Phone
(772) 288-2345
Fax
(844) 269-6899
Organisation at this address
Christian Community Care Center
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
122300000X
Licence states on file
IL, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida