Provider Demographics
NPI:1073351599
Name:FRODEL, MARGARET MARIE (AP LAC HHC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARIE
Last Name:FRODEL
Suffix:
Gender:F
Credentials:AP LAC HHC
Other - Prefix:
Other - First Name:MEG
Other - Middle Name:MARIE
Other - Last Name:FRODEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AP LAC HHC
Mailing Address - Street 1:800 E BROWARD BLVD STE 403
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-2033
Mailing Address - Country:US
Mailing Address - Phone:954-320-4945
Mailing Address - Fax:
Practice Address - Street 1:800 E BROWARD BLVD STE 403
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-2033
Practice Address - Country:US
Practice Address - Phone:954-320-4945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist