Provider Demographics
NPI:1114207974
Name:FREY, STEPHANIE (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:
Last Name:FREY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1747 SE 5TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-2509
Mailing Address - Country:US
Mailing Address - Phone:352-350-2095
Mailing Address - Fax:352-350-2077
Practice Address - Street 1:1500 SE MAGNOLIA EXT STE 201
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4461
Practice Address - Country:US
Practice Address - Phone:352-351-1555
Practice Address - Fax:352-351-1330
Is Sole Proprietor?:No
Enumeration Date:2011-08-25
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3604213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHC952YMedicare UPIN