Healthcare Provider Details

I. General information

NPI: 1003004656
Provider Name (Legal Business Name): DEBBIE FRIEDMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBBIE F MARKENSON MD, PHD

II. Dates (important events)

Enumeration Date: 10/09/2007
Last Update Date: 08/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5325 GREENWOOD AVE SUITE 201
WEST PALM BEACH FL
33407-2452
US

IV. Provider business mailing address

1300 SAWGRASS CORPORATE PKWY SUITE 200
SUNRISE FL
33323-2826
US

V. Phone/Fax

Practice location:
  • Phone: 561-844-9858
  • Fax:
Mailing address:
  • Phone: 800-243-3839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD036951
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number25MA08956000
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberME119401
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: