Organization
JARROD FRIEDMAN
Active
Other names
Jarrod Friedman
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEBORIA HOLCOMBE (ACCOUNT MANAGER)
(561) 795-0018
Entity
Organization
Contact information
Practice address
5061 VIA DE AMALFI DR, BOCA RATON, FL 33496-2429
(561) 795-0018
(561) 721-4142
Mailing address
5061 VIA DE AMALFI DR, BOCA RATON, FL 33496-2429
(561) 795-0018
(561) 721-4142
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
ME107418
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME107418
ME107418
FL
Enumeration date
11/04/2014
Last updated
11/04/2014
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