Individual
ANTONIO MARIA FREIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1150 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-5031
(954) 616-2020
(954) 616-3030
Mailing address
PO BOX 268704, WESTON, FL 33326-8704
(954) 217-0158
(954) 217-0158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9110866
FL
363LF0000X
Family Nurse Practitioner
11006400
FL
Other
Enumeration date
01/29/2018
Last updated
04/07/2020
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