Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caitlin R. Fredericka

Individual provider Nurse Practitioner · NPI 1457842197

Caitlin R. Fredericka is a Nurse Practitioner in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018

Practice location Address checks out

202 Lake Miriam Dr Ste S1
Lakeland, FL 33813-2188
Phone: (863) 647-2333
Fax: (863) 393-1995
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9463648 (FL)

Record details

NPI number1457842197
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 29, 2018
Last updated in NPPESJuly 15, 2019
Mailing address151 Southhall Ln Ste 300, Maitland, FL 32751-7172

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