Individual
JILLIAN FRIEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 CLINT MOORE RD STE 145, BOCA RATON, FL 33487-5720
(561) 372-9158
Mailing address
1601 CLINT MOORE RD STE 145, BOCA RATON, FL 33487-5720
(561) 210-7310
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME147897
FL
390200000X
Student in an Organized Health Care Education/Training Program
4301107272
MI
Other
Enumeration date
06/25/2015
Last updated
10/04/2021
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