MEDICARE: LAURIE FOLKMAN 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	207Q00000X	Family Medicine Physician	ME0048476	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	:	1831175454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAURIE FOLKMAN MD

Provider Business Mailing Address
First Line	:	6911 PISTOL RANGE RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33635-6335
Country	:	US
Telephone Number	:	813-888-9924
Fax Number	:	813-886-8464

Provider Business Practice Location Address
First Line	:	6911 PISTOL RANGE RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33635-6335
Country	:	US
Telephone Number	:	813-888-9924
Fax Number	:	813-886-8464

Authorized Official
Title or Position	:	FRONT SUPERVISOR
Name	:	BRANDIE N MOSBY
Credential	:
Telephone Number	:	813-888-9924

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	10/30/2007

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Directions to “LAURIE FOLKMAN MD ” Practice Location

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