MEDICARE: MRS. JAMIE B FRIEDMAN PA-C

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	363AM0700X	Medical Physician Assistant	PA9103899	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	:	1447330923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAMIE B FRIEDMAN PA-C

Provider Business Mailing Address
First Line	:	9564 EQUUS CIR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-4334
Country	:	US
Telephone Number	:	561-306-7999
Fax Number	:

Provider Business Practice Location Address
First Line	:	1054 GATEWAY BLVD
Second Line	:	SUITE 110
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-8301
Country	:	US
Telephone Number	:	561-738-4770
Fax Number	:	561-738-9727

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	03/18/2013

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