Organization
FREEMAN MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA LYNN FREEMAN APRN (OWNER)
(850) 748-7743
Entity
Organization
Contact information
Practice address
9015 ABB PITMAN RD, MILTON, FL 32570-9305
(850) 748-7743
(850) 313-6575
Mailing address
9015 ABB PITMAN RD, MILTON, FL 32570-9305
(850) 748-7743
(850) 313-6575
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982673018
INDIVIDUAL NPI-1982673018-CMS
FL
Enumeration date
05/02/2022
Last updated
05/02/2022
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