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

Patrice R Frederick, MD

Individual provider Surgery Physician · NPI 1225288921

Patrice R Frederick, MD is a Surgery Physician in Tavares, Florida. Works from 2 locations. Licensed in Florida and Illinois.

Licensed in
FL, IL
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1290 Waterman Way Ste 1290
Tavares, FL 32778-5229
Phone: (352) 742-0054
Show map & directions

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

Additional practice locations (1)

  • 840 S Wood St Ste 435e, Chicago, IL 60612-4325 — (312) 355-1493

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME155086 (FL)
Surgery Physician Taxonomy 208600000X · Licence 036117915 (IL)

Record details

NPI number1225288921
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 30, 2008
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023
Mailing address1290 Waterman Way Ste 1290, Tavares, FL 32778-5229

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