Healthcare Provider Details

I. General information

NPI: 1124943030
Provider Name (Legal Business Name): AMBER FRIEDMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8612 GRIFFIN RD
COOPER CITY FL
33328-3719
US

IV. Provider business mailing address

8570 SW 26TH PL
DAVIE FL
33328-1222
US

V. Phone/Fax

Practice location:
  • Phone: 954-252-8900
  • Fax:
Mailing address:
  • Phone: 561-704-3024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT45215
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: