Most Relevant Information
Provider Data
| NPI Number: | 1003472366 |
| Provider Name: | ELLIE FRAZEY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2084N0400X |
| Specialty: | Psychiatry & Neurology |
| License Number: | ME161342 |
Most Important Dates
| Enumeration Date: | 05/13/2019 |
| Last Updated: | 01/04/2024 |
Provider Practice Location
11215 METRO PKWY STE 1
FORT MYERS
FL
339661206
Practice Location Phone/Fax
| Phone: | 2392082212 |
| Fax: |
Provider Mailing Location
11215 METRO PKWY STE 1
FORT MYERS
FL
339661206
Provider Mailing Phone/Fax
| Phone: | 8138424723 |
| Fax: |
Suggested EMR
Neurology EMR