Individual
DESIRAE FRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
755 RINEHART RD, LAKE MARY, FL 32746
(407) 320-8100
(407) 320-8110
Mailing address
755 RINEHART RD, LAKE MARY, FL 32746-4874
(407) 320-8100
(407) 320-8110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0536749
KS
207Q00000X
Family Medicine Physician
Primary
OS15979
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201128020B
—
KS
Enumeration date
06/08/2012
Last updated
09/13/2019
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