Individual
DR. CARL R FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 SAN MARCO BLVD, SUITE 200, JACKSONVILLE, FL 32207-8568
(904) 346-3465
(904) 858-6489
Mailing address
1325 SAN MARCO BLVD, SUITE 200, JACKSONVILLE, FL 32207-8568
(904) 346-3465
(904) 858-6489
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME 111145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012214100
—
FL
01
—
P01366901
RAILROAD MEDICARE
FL
Enumeration date
05/30/2008
Last updated
11/16/2020
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