MEDICARE: BEATRIZ A B FREELAND MA, JD, CCC/SLP

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	235Z00000X	Speech-Language Pathologist	SA 3515	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

General Provider Information

NPI Number	:	1083727952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATRIZ A B FREELAND MA, JD, CCC/SLP

Provider Business Mailing Address
First Line	:	19735 QUARTERLY PKWY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32833-5307
Country	:	US
Telephone Number	:	407-716-4824
Fax Number	:	407-479-3655

Provider Business Practice Location Address
First Line	:	19735 QUARTERLY PKWY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32833-5307
Country	:	US
Telephone Number	:	407-716-4824
Fax Number	:	407-479-3655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	10/06/2014

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