| Doctor Name: | ELAINE PRENKOWITZ-FREY |
| NPI Number: | 1285734582 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 100248 |
| Business Practice Address: | 2814 14th Ave Se Ruskin, FL - 335705471 |
| Business Phone Number: | 8133497800 |
| Business Fax Number: | 8133497871 |
| Mailing Address: | 13110 Elk Mountain Dr, RIVERVIEW |
| State: | FL |
| Postal Code: | 335797182 |
| Phone Number: | 8133497568 |
| Fax Number: | 8133497561 |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 11/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 100248 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |