Healthcare Provider Details

I. General information

NPI: 1922819119
Provider Name (Legal Business Name): AMY MARIE FREEMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15340 S JOG RD STE 200
DELRAY BEACH FL
33446-2170
US

IV. Provider business mailing address

2854 QUANTUM LAKES DR
BOYNTON BEACH FL
33426-8332
US

V. Phone/Fax

Practice location:
  • Phone: 561-496-7200
  • Fax:
Mailing address:
  • Phone: 561-777-5656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11036952
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: