Provider Demographics
NPI:1164466405
Name:PLUVIOSE, FRITZ (MD)
Entity Type:Individual
Prefix:
First Name:FRITZ
Middle Name:
Last Name:PLUVIOSE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7177 LOUISIANE CT
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-6473
Mailing Address - Country:US
Mailing Address - Phone:401-486-4993
Mailing Address - Fax:
Practice Address - Street 1:2160 W ATLANTIC AVE FL 1
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4660
Practice Address - Country:US
Practice Address - Phone:561-425-8888
Practice Address - Fax:855-878-2200
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98207207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIC90175Medicare UPIN