Provider Demographics
NPI:1649284043
Name:FROLICH, HAROLD (MD)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:
Last Name:FROLICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24050 COMMERCE PARK
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5833
Mailing Address - Country:US
Mailing Address - Phone:216-896-9301
Mailing Address - Fax:216-896-9302
Practice Address - Street 1:3300 SW 34TH AVE
Practice Address - Street 2:SUITE 116
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7448
Practice Address - Country:US
Practice Address - Phone:352-789-6616
Practice Address - Fax:352-789-6582
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35062996207QA0505X
FLME109489207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine