Healthcare Provider Details

I. General information

NPI: 1891863445
Provider Name (Legal Business Name): JEFFREY FRIEDLANDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 02/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8451 SHADE AVE STE 108
SARASOTA FL
34243-2878
US

IV. Provider business mailing address

8451 SHADE AVE STE 108
SARASOTA FL
34243-2878
US

V. Phone/Fax

Practice location:
  • Phone: 941-360-1030
  • Fax: 941-360-1020
Mailing address:
  • Phone: 941-360-1030
  • Fax: 941-360-1020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME43369
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License NumberME43369
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberME43369
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME43369
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: