Provider Demographics
NPI:1023254414
Name:FRISBEE, PATRECE ADELE (DC)
Entity type:Individual
Prefix:DR
First Name:PATRECE
Middle Name:ADELE
Last Name:FRISBEE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9420 SW 77TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2501
Mailing Address - Country:US
Mailing Address - Phone:305-666-1402
Mailing Address - Fax:305-666-1402
Practice Address - Street 1:9420 SW 77TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-2501
Practice Address - Country:US
Practice Address - Phone:305-666-1402
Practice Address - Fax:305-666-1402
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-06
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH000006620111N00000X
FL826207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Yes111N00000XChiropractic ProvidersChiropractor