Provider Demographics
NPI:1831487255
Name:FRYE MEDICAL GROUP, PLLC
Entity Type:Organization
Organization Name:FRYE MEDICAL GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARRIN
Authorized Official - Middle Name:LYLE
Authorized Official - Last Name:FRYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-601-9393
Mailing Address - Street 1:61 PINEHILL TRL W
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-2158
Mailing Address - Country:US
Mailing Address - Phone:561-601-9393
Mailing Address - Fax:561-746-1522
Practice Address - Street 1:601 HERITAGE DR STE 455
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-2777
Practice Address - Country:US
Practice Address - Phone:561-601-9393
Practice Address - Fax:561-746-1522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00706552083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty