Individual
DR. DAVID STEPHEN FREITAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26800 S TAMIAMI TRL, SUITE 360, BONITA SPRINGS, FL 34134-4349
(239) 495-1234
(239) 495-2345
Mailing address
29170 POSITANO COURT, NAPLES, FL 34110-2851
(239) 594-3131
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
101044482
VA
207ND0101X
MOHS-Micrographic Surgery Physician
MD60147325
WA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME103242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004044200
—
FL
01
—
145AU
BCBS
FL
Enumeration date
02/28/2006
Last updated
03/18/2014
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