Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME102509 | FL |
Y | 208600000X | Surgeon | ME102509 | FL |
NPI | 1013141712 |
---|---|
Provider Name | Dr. Jacob J. Freiman |
First Address | Jupiter, FL 33458-3000 |
Second Address | Jupiter, FL 33458-3000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2009 |
Last Update Date | 14/09/2009 |