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Individual

DR. MICHAEL JAY FREIMARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4100 S HOSPITAL DR STE 302, PLANTATION, FL 33317-2838
(954) 321-1591
(951) 321-1592
Mailing address
4100 S HOSPITAL DR STE 302, PLANTATION, FL 33317-2838
(954) 321-1591
(954) 321-1592

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME63672
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
372937100
FL
01
F69222
UPIN
FL
Enumeration date
10/12/2005
Last updated
10/05/2022
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