Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | OS8499 | FL |
NPI | 1003816034 |
---|---|
Provider Name | Beth Freedland |
First Address | Boca Raton, FL 33433-3409 |
Second Address | Boca Raton, FL 33433-3409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2005 |
Last Update Date | 22/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
266493300 | (05) | FL |
E6871Z | (02) | FL |