# FREMIN MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fremin Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104089135
- **Authorized official:** DR. ROSS JOHN FREMIN M.D. (FAMILY PHYSICIAN)
- **Authorized official phone:** (337) 364-5503

## Contact information

- **Practice address:** 1115 CENTER STREET, NEW IBERIA, LA 70560
- **Practice address phone:** (337) 364-5503
- **Mailing address:** 1115 CENTER STREET, NEW IBERIA, LA 70560
- **Mailing address phone:** (337) 364-5503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 025620 | LA | Yes |

## Other

- **Enumeration date:** 07/09/2008
- **Last updated:** 07/09/2008