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General NPI Number Information
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NPI Number | 1982622775
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Entity Type | Organization
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Legal Business Name | CHARLES K FRIEDMAN DO PA
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 09/20/2025
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Provider Practice Location Address
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Address Line | 5767 49TH ST N
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City | ST PETERSBURG
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State | FL
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Zip | 33709-2106
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Country | US
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Telephone | 727-350-0450
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Fax | 727-350-0451
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Provider Business Mailing Address
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Address Line | PO BOX 865756
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City | ORLANDO
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State | FL
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Zip | 32886-5756
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Country | US
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Telephone | 844-653-8300
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Fax | 817-886-3647
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | TRACIE GARI
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Credential |
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Telephone | 813-549-2134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State | FL
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