Individual
EDWARD DEFREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2010 59TH ST W, STE 5600, BRADENTON, FL 34209-4686
(941) 798-3524
Mailing address
PO BOX 552106, TAMPA, FL 33655-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME57232
FL
Other
Enumeration date
04/06/2006
Last updated
09/26/2007
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