Organization
PRIMARY CARE ASSOCIATES OF SOUTH BEACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD MICHAEL FREEMAN PHD, ARNP, BC (PRESIDENT)
(305) 534-8300
Entity
Organization
Contact information
Practice address
2801 FLORIDA AVE, SUITE 10, MIAMI, FL 33133-1905
(305) 534-8300
(305) 534-6445
Mailing address
1450 MERIDIAN AVE, SUITE 10, MIAMI BEACH, FL 33139-8059
(305) 534-8300
(305) 534-6445
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2987482
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2987482
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194919050
NPI
FL
Enumeration date
07/24/2008
Last updated
07/24/2008
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