MEDICARE: ALAN R FREEDMAN DC PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH0006528	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033105770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAN R FREEDMAN DC PA

Provider Business Mailing Address
First Line	:	190 S UNIVERSITY DR
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-2234
Country	:	US
Telephone Number	:	954-433-0300
Fax Number	:	954-433-8268

Provider Business Practice Location Address
First Line	:	190 S UNIVERSITY DR
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-2234
Country	:	US
Telephone Number	:	954-433-0300
Fax Number	:	954-433-8268

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. ALAN ROBERT FREEDMAN
Credential	:	DC
Telephone Number	:	954-433-0300

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	09/10/2019

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Directions to “ALAN R FREEDMAN DC PA ” Practice Location

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