Individual
ROBERT MARVIN FREEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5539 MARINE PKWY, NEW PORT RICHEY, FL 34652-4329
(727) 841-8225
(727) 846-8549
Mailing address
PO BOX 1175, NEW PORT RICHEY, FL 34656-1175
(727) 841-8225
(727) 846-8549
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0066628
FL
2085R0202X
Diagnostic Radiology Physician
Primary
0066628
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376986100
—
FL
Enumeration date
06/02/2006
Last updated
09/22/2010
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