Provider Demographics
NPI:1104042357
Name:TURNER, FRED JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:FRED
Middle Name:JOSEPH
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2401 UNIVERSITY PKWY
Mailing Address - Street 2:# 201
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243
Mailing Address - Country:US
Mailing Address - Phone:941-351-3303
Mailing Address - Fax:941-351-9931
Practice Address - Street 1:2401 UNIVERSITY PKWY
Practice Address - Street 2:# 201
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243
Practice Address - Country:US
Practice Address - Phone:941-351-3303
Practice Address - Fax:941-351-9931
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0059799207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME0059799OtherMEDICAL LICENSE
FLE83799Medicare UPIN