Healthcare Provider Details

I. General information

NPI: 1750100152
Provider Name (Legal Business Name): FREEDOM ORTHOPAEDICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2024
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9960 CENTRAL PARK BLVD N STE 225
BOCA RATON FL
33428-1705
US

IV. Provider business mailing address

4280 SAINT CHARLES WAY
BOCA RATON FL
33434-5359
US

V. Phone/Fax

Practice location:
  • Phone: 954-695-6284
  • Fax: 561-710-2866
Mailing address:
  • Phone: 954-695-6284
  • Fax: 561-710-2866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. JESSICA FRITZ
Title or Position: PRACTICE MANAGER
Credential:
Phone: 954-695-6284