Provider Demographics
NPI:1639251309
Name:LEMOINE, FRITZ F JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRITZ
Middle Name:F
Last Name:LEMOINE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2590 NORTHBROOKE PLAZA DR STE 203
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-8101
Mailing Address - Country:US
Mailing Address - Phone:239-325-9470
Mailing Address - Fax:239-631-6111
Practice Address - Street 1:2590 NORTHBROOKE PLAZA DR STE 203
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-8101
Practice Address - Country:US
Practice Address - Phone:239-325-9470
Practice Address - Fax:239-631-6111
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000027259207R00000X
FLME100131207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL18433OtherFL BC
FL18433SMedicare PIN
TNF48913Medicare UPIN
FL18433UMedicare PIN