Individual
MISS FRIEDA ANSOANUUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, #100371, GAINESVILLE, FL 32610-3001
(352) 265-0301
(352) 265-0627
Mailing address
1600 SW ARCHER RD, #100371, GAINESVILLE, FL 32610-3001
(352) 265-0301
(352) 265-0627
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME127607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017067200
—
FL
Enumeration date
01/25/2011
Last updated
05/20/2016
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