Healthcare Provider Details

I. General information

NPI: 1801083589
Provider Name (Legal Business Name): MICHAEL J FREEMAN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2723 SE MARICAMP RD
OCALA FL
34471-5537
US

IV. Provider business mailing address

2723 SE MARICAMP RD
OCALA FL
34471-5537
US

V. Phone/Fax

Practice location:
  • Phone: 352-732-7779
  • Fax: 352-732-2664
Mailing address:
  • Phone: 352-732-7779
  • Fax: 352-732-2664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME27682
License Number StateFL

VIII. Authorized Official

Name: DR. SCOTT M SCHLAUDER
Title or Position: OWNER
Credential: M.D.
Phone: 352-732-7779