MEDICARE: DR. GREGG LOWELL FRIEDMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	ME49447	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275531543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGG LOWELL FRIEDMAN MD

Provider Business Mailing Address
First Line	:	2500 EAST HALLANDALE BEACH BLVD
Second Line	:	SUITE 702
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4840
Country	:	US
Telephone Number	:	954-456-1996
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 EAST HALLANDALE BEACH BLVD
Second Line	:	SUITE 702
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4840
Country	:	US
Telephone Number	:	954-456-1996
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	06/26/2013

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