MEDICARE: FREEMAN EXPRESS 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	363LP2300X	Primary Care Nurse Practitioner
2	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1669939948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEMAN EXPRESS INC

Provider Business Mailing Address
First Line	:	7382 CENTRAL INDUSTRIAL DR
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-3426
Country	:	US
Telephone Number	:	561-863-8004
Fax Number	:	561-863-8005

Provider Business Practice Location Address
First Line	:	7382 CENTRAL INDUSTRIAL DR
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-3426
Country	:	US
Telephone Number	:	561-863-8004
Fax Number	:	561-863-8005

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HARRY LEONARD FREEMAN JR.
Credential	:	FNP-BC
Telephone Number	:	561-291-3579

Provider Enumeration Date	:	02/22/2019
Last Update Date	:	02/22/2019

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Directions to “FREEMAN EXPRESS INC ” Practice Location

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