Individual
DR. IRA FREILICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1474 MARKET ST, TALLAHASSEE, FL 32312-1768
(850) 233-3376
(850) 522-8354
Mailing address
2505 HARRISON AVE, PANAMA CITY, FL 32405-4464
(850) 233-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME 46912
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME 46912
FL
207ND0900X
Dermatopathology Physician
ME 46912
FL
207NS0135X
Procedural Dermatology Physician
ME 46912
FL
207Q00000X
Family Medicine Physician
ME 46912
FL
208D00000X
General Practice Physician
ME 46912
FL
Other
Enumeration date
07/10/2006
Last updated
08/28/2020
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