Individual
GRACE A FREIRE
Active
Individual
GRACE A FREIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
ME108820
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003016500
—
FL
01
—
ME108820
FLORIDA MEDICAL LICENSE
FL
Enumeration date
09/15/2006
Last updated
09/25/2012
Update your record
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