Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | OS16853 | FL |
Y | 207PP0204X | Pediatric Emergency Physician | OS16853 | FL |
NPI | 1548527591 |
---|---|
Provider Name | Lauren Rachel Friedman |
First Address | Cleveland, OH 44106-1716 |
Second Address | St Petersburg, FL 33701-4634 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2012 |
Last Update Date | 16/08/2021 |