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

Marcia Frederic

Individual provider Family Nurse Practitioner · NPI 1154103216

Marcia Frederic is a Nurse Practitioner in Orlando, Florida. Qualified in 2023, 3 years ago. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023

Practice location Address checks out

671 Winyah Dr
Orlando, FL 32803-1226
Phone: (407) 303-7747
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11029178 (FL)

Record details

NPI number1154103216
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 13, 2023
Last updated in NPPESOctober 13, 2023
Certification dateOctober 11, 2023
Mailing address671 Winyah Dr, Orlando, FL 32803-1226

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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