Healthcare Provider Details

I. General information

NPI: 1346254125
Provider Name (Legal Business Name): DEBRA E FREEMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 08/19/2021
Certification Date: 08/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2575 NORTHBROOKE PLAZA DR 203
NAPLES FL
34119-7961
US

IV. Provider business mailing address

2575 NORTHBROOKE PLAZA DR UNIT 207
NAPLES FL
34119-8099
US

V. Phone/Fax

Practice location:
  • Phone: 239-262-5168
  • Fax: 239-262-8524
Mailing address:
  • Phone: 239-262-5168
  • Fax: 239-262-8524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberME0059942
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: