Organization
DOCK AND ROLL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA LYNN FREYMUTH CSFA (CSFA)
(954) 369-8508
Entity
Organization
Contact information
Practice address
6211 NW 34TH AVE, FORT LAUDERDALE, FL 33309-1602
(954) 369-8508
Mailing address
6211 NW 34TH AVE, FORT LAUDERDALE, FL 33309-1602
(954) 369-8508
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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