MEDICARE: DR. HAROLD C FRIEND MD

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	2084N0400X	Neurology Physician	ME26496	FL

General Provider Information

NPI Number	:	1508880808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD C FRIEND MD

Provider Business Mailing Address
First Line	:	1500 NW 10TH AVE STE 105
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33486-1344
Country	:	US
Telephone Number	:	561-392-5919
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 NW 10TH AVE STE 105
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33486-1344
Country	:	US
Telephone Number	:	561-392-5919
Fax Number	:

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	11/21/2008

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