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Individual

ROSALIND A FREAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2571 W EAU GALLIE BLVD, SUITE 2, MELBOURNE, FL 32935-8954
(321) 777-9091
Mailing address
2571 W EAU GALLIE BLVD, SUITE 2, MELBOURNE, FL 32935-8954
(321) 777-9091

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0071639
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070009963
RAIL ROAD MEDICARE
05
251163100
FL
Enumeration date
03/29/2006
Last updated
06/02/2009
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