Healthcare Provider Details

I. General information

NPI: 1750327177
Provider Name (Legal Business Name): ROBERT S FRIEDMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 BEE RIDGE RD
SARASOTA FL
34239
US

IV. Provider business mailing address

PO BOX 162264
ALTAMONTE SPRINGS FL
32716-2264
US

V. Phone/Fax

Practice location:
  • Phone: 941-925-8888
  • Fax: 941-924-8669
Mailing address:
  • Phone: 941-792-2020
  • Fax: 941-782-1089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License NumberME0064752
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME0064752
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: