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Individual

JOEL FRIEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6522 S KANNER HWY, STUART, FL 34997-6396
(772) 463-1123
(772) 463-3072
Mailing address
6149 WILBUR WAY, LAKE WORTH, FL 33467-8748
(561) 514-8413
(561) 514-8419

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME038711
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16-1711775
MEDSTAT FEDERAL ID #
FL
Enumeration date
03/08/2006
Last updated
07/08/2007
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