Healthcare Provider Details

I. General information

NPI: 1982968459
Provider Name (Legal Business Name): ABHISHEK FREYER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ABHI FREYER M.D.

II. Dates (important events)

Enumeration Date: 06/29/2012
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 N. CLYDE MORRIS BLVD HALIFAX HEALTH MEDICAL CENTER - INTENSIVISTS
DAYTONA BEACH FL
32114-2709
US

IV. Provider business mailing address

PO BOX 732901
DALLAS TX
75373-2901
US

V. Phone/Fax

Practice location:
  • Phone: 386-254-4152
  • Fax: 386-254-4315
Mailing address:
  • Phone: 386-226-4590
  • Fax: 386-226-3371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD459689
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: