Healthcare Provider Details

I. General information

NPI: 1649228685
Provider Name (Legal Business Name): RICHARD S FRIEFELD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 03/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16601 NE 19TH AVE
NORTH MIAMI BEACH FL
33162-3149
US

IV. Provider business mailing address

16601 NE 19TH AVE
NORTH MIAMI BEACH FL
33162
US

V. Phone/Fax

Practice location:
  • Phone: 305-944-2902
  • Fax: 305-944-8271
Mailing address:
  • Phone: 305-944-2902
  • Fax: 305-944-8271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME0036632
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: