Organization
FREEMAN MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA LYNN FREEMAN ARNP (OWNER)
(850) 957-0057
Entity
Organization
Contact information
Practice address
9015 ABB PITMAN RD, MILTON, FL 32570-9305
(850) 957-0057
(850) 957-0067
Mailing address
9015 ABB PITMAN RD, MILTON, FL 32570-9305
(850) 957-0057
(850) 957-0067
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 1799622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y9937
BCBS
FL
Enumeration date
03/10/2006
Last updated
08/22/2020
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