Shelly Fradet (NPI# 1962579086, PAC ID# 9335248913) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1962579086 |
| PAC ID by PECOS | 9335248913 |
| Professional Enrollment ID | I20070622000003 |
| Full Name | Shelly Fradet |
| Organization Legal Name | COASTAL FAMILY PRACTICE LLC |
| Address |
1404 S Ridgewood Ave Edgewater FL 32132-2720 |
| Phone Number | 3864268166 |
| Gender | F |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1850486085 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100014 | FLORIDA HOSPITAL NEW SMYRNA |
| Address | Phone | Organization |
|---|---|---|
| 1404 S Ridgewood Ave, Edgewater, FL 32132-2720 | 3864268166 | COASTAL FAMILY PRACTICE LLC |
| Organization Legal Name | COASTAL FAMILY PRACTICE LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra L Buchanan | Family Medicine | Coastal Family Practice LLC | 1404 S Ridgewood Ave, Edgewater, FL 32132-2720 |
| Margaret M Chang | Family Medicine | Coastal Family Practice LLC | 1404 S Ridgewood Ave, Edgewater, FL 32132-2720 |
| Patricia J Fredette Huffman | Family Medicine | Coastal Family Practice LLC | 1404 S Ridgewood Ave, Edgewater, FL 32132-2720 |
| Street Address |
1404 S RIDGEWOOD AVE |
| City | EDGEWATER |
| State | FL |
| Zip | 32132-2720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra L Buchanan | Family Medicine | Coastal Family Practice LLC | 1404 S Ridgewood Ave, Edgewater, FL 32132-2720 |
| Margaret M Chang | Family Medicine | Coastal Family Practice LLC | 1404 S Ridgewood Ave, Edgewater, FL 32132-2720 |
| Patricia J Fredette Huffman | Family Medicine | Coastal Family Practice LLC | 1404 S Ridgewood Ave, Edgewater, FL 32132-2720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee N Metchick | Endocrinology | Endocrinology of Central Florida Pa | 109 W Knapp Ave, Edgewater, FL 32132-1555 |
| Crystal R Mead | Physician Assistant | Endocrinology of Central Florida Pa | 109 W Knapp Ave, Edgewater, FL 32132-1555 |
| Timothy Martin Steflik | Chiropractic | Coastal Integrative Healthcare Inc | 315 N Ridgewood Ave, Edgewater, FL 32132-1617 |
| William G Salter | Nurse Practitioner | Coastal Integrative Healthcare Inc | 315 N Ridgewood Ave, Edgewater, FL 32132-1617 |
| Bryan Call | Chiropractic | Coastal Integrative Healthcare Inc | 315 N Ridgewood Ave, Edgewater, FL 32132-1617 |
| Melony K Thomas | Chiropractic | Coastal Integrative Healthcare Inc | 315 N Ridgewood Ave, Edgewater, FL 32132-1617 |
| Jacqueline P Gleason | Nurse Practitioner | Coastal Integrative Healthcare Inc | 315 N Ridgewood Ave, Edgewater, FL 32132-1617 |
| Skyler J Perkins | Nurse Practitioner | Coastal Integrative Healthcare Inc | 315 N Ridgewood Ave, Edgewater, FL 32132-1617 |
| Susan A Hole | Family Medicine | 346 N Ridgewood Ave, Suite A, Edgewater, FL 32132-1672 | |
| John A Martin Jr. | Family Medicine | Florida Health Care Plan Inc | 239 N Ridgewood Ave, Edgewater, FL 32132-1734 |
| Find all physicians in zip 32132 | |||
| City | EDGEWATER |
| Zip Code | 32132 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | EDGEWATER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shelly Fradet.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.