Provider Demographics
NPI:1912911884
Name:POLLACK FRAYMAN, RICKI CARYN (MD)
Entity Type:Individual
Prefix:DR
First Name:RICKI
Middle Name:CARYN
Last Name:POLLACK FRAYMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:218 HIGHLAND WOODS DRIVE
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695
Mailing Address - Country:US
Mailing Address - Phone:727-726-5455
Mailing Address - Fax:727-726-5455
Practice Address - Street 1:201 14TH ST SW
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3133
Practice Address - Country:US
Practice Address - Phone:727-588-5222
Practice Address - Fax:727-588-5458
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0075742207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H03647Medicare UPIN