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General NPI Number Information
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NPI Number | 1386861870
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Entity Type | Organization
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Legal Business Name | FRIEDMAN & GREENHUT, DPM, PA
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2561 RIVERSIDE AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32204-4722
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Country | US
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Telephone | 904-308-7909
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Fax | 904-308-4099
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Provider Business Mailing Address
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Address Line | PO BOX 1578
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City | CALLAHAN
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State | FL
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Zip | 32011-1578
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Country | US
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Telephone | 904-879-2552
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Fax | 904-879-6360
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL L FRIEDMAN
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Credential | DPM
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Telephone | 904-879-2552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | FL
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