MEDICARE: FREEDOM MEDICAL SERVICES INC

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	332B00000X	Durable Medical Equipment & Medical Supplies	2003-04658	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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275534026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEDOM MEDICAL SERVICES INC

Provider Business Mailing Address
First Line	:	4901 NW 17TH WAY STE 501
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3774
Country	:	US
Telephone Number	:	561-338-4900
Fax Number	:	561-886-2777

Provider Business Practice Location Address
First Line	:	4901 NW 17TH WAY STE 501
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3774
Country	:	US
Telephone Number	:	561-338-4900
Fax Number	:	561-886-2777

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CHARLES T THURMAN JR
Credential	:	J.D.
Telephone Number	:	561-338-4900

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	09/09/2020

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Directions to “FREEDOM MEDICAL SERVICES INC ” Practice Location

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