Healthcare Provider Details

I. General information

NPI: 1831252428
Provider Name (Legal Business Name): JUAN ARTURO FRIDMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 N KENDALL DR DEPARTMENT OF MEDICAL EDUCATION
MIAMI FL
33176-2118
US

IV. Provider business mailing address

8900 N KENDALL DR
MIAMI FL
33176-2118
US

V. Phone/Fax

Practice location:
  • Phone: 786-596-7232
  • Fax: 786-596-2769
Mailing address:
  • Phone: 786-596-7232
  • Fax: 786-596-2769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberME 27398
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: