Melissa A Fredrickson, PA-C
NPI #1619245875 in St Augustine, Florida
Provider Information
- NPI Number
- 1619245875
- Entity Type
- Individual
- Name
- Melissa A Fredrickson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Dec 2, 2011
- Last Updated
- Sep 25, 2023
Practice Location
- Address
- 230 VILLAGE COMMONS DR
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32092-4545
- Phone
- (904) 940-1441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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