Provider Demographics
NPI:1548299399
Name:FRONDA, RONALD V (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:V
Last Name:FRONDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2829
Mailing Address - Street 2:
Mailing Address - City:LAKE PLACID
Mailing Address - State:FL
Mailing Address - Zip Code:33862-2829
Mailing Address - Country:US
Mailing Address - Phone:863-465-6200
Mailing Address - Fax:863-465-9217
Practice Address - Street 1:2950 ALT US 27 S
Practice Address - Street 2:STE A
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870
Practice Address - Country:US
Practice Address - Phone:863-471-1300
Practice Address - Fax:863-471-1315
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87753207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I09379Medicare UPIN
82388Medicare ID - Type Unspecified