MEDICARE: DR. IVEL CRISTINA DE FREITAS M.D.

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	207R00000X	Internal Medicine Physician	ME107216	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME107216	OTHER	FL	INTERNAL MEDICINE

General Provider Information

NPI Number	:	1457543746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IVEL CRISTINA DE FREITAS M.D.

Provider Business Mailing Address
First Line	:	1565 OCEAN BAY DR
Second Line	:
City	:	KEY LARGO
State	:	FL
Zip	:	33037-4207
Country	:	US
Telephone Number	:	786-898-4139
Fax Number	:	954-634-4293

Provider Business Practice Location Address
First Line	:	4765 SW 148TH AVE STE 404
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33330-2128
Country	:	US
Telephone Number	:	203-300-0147
Fax Number	:	954-634-4293

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

Provider Enumeration Date	:	08/10/2007
Last Update Date	:	01/23/2026

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