1043283153 NPI number — LAWRENCE FRIEDMAN M.D.

Table of content: LAWRENCE FRIEDMAN M.D. (NPI 1043283153)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043283153 NPI number — LAWRENCE FRIEDMAN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRIEDMAN
Provider First Name:
LAWRENCE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043283153
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1380
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OLDSMAR
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34677-1380
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-239-3456
Provider Business Mailing Address Fax Number:
727-943-3794

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1831 N BELCHER RD
Provider Second Line Business Practice Location Address:
SUITE A-2
Provider Business Practice Location Address City Name:
CLEARWATER
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33765-1449
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-797-5500
Provider Business Practice Location Address Fax Number:
727-943-3794
Provider Enumeration Date:
02/09/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  ME64984 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)