Basic Information
| Provider Information | |||||||||
| NPI: | 1891742805 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRY | ||||||||
| FirstName: | ALLAND | ||||||||
| MiddleName: | GORDON | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | III | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13601 BRUCE B DOWNS BLVD | ||||||||
| Address2: | SUITE 250 | ||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336134657 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8139716909 | ||||||||
| FaxNumber: | 8139716985 | ||||||||
| Practice Location | |||||||||
| Address1: | 13601 BRUCE B DOWNS BLVD | ||||||||
| Address2: | SUITE 250 | ||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336134657 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8139716909 | ||||||||
| FaxNumber: | 8139716985 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/27/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VM0101X | ME96015 | FL | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Maternal & Fetal Medicine |
No ID Information.