Individual
DR. MARC FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 BARRS ST, DEPARTMENT OF RADIOLOGY, JACKSONVILLE, FL 32204-4704
(904) 388-1562
(904) 388-1841
Mailing address
PO BOX 3175, INDIANAPOLIS, IN 46206-3175
(855) 613-5392
(855) 853-5104
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0020294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000198547A
—
GA
05
—
035852500
—
FL
01
—
300017433
RR MEDICARE
FL
01
—
68032
BC BS
FL
Enumeration date
05/09/2006
Last updated
09/08/2015
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