MEDICARE: DR. HELENE FRIEDBERG 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	207N00000X	Dermatology Physician	ME54887	FL
2	207R00000X	Internal Medicine Physician	ME54887	FL

General Provider Information

NPI Number	:	1699940809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELENE FRIEDBERG M.D.

Provider Business Mailing Address
First Line	:	5100 N FEDERAL HWY
Second Line	:	STE 200B
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-3886
Country	:	US
Telephone Number	:	954-229-3223
Fax Number	:	954-229-3224

Provider Business Practice Location Address
First Line	:	5100 N FEDERAL HWY
Second Line	:	STE 200B
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-3886
Country	:	US
Telephone Number	:	954-229-3223
Fax Number	:	954-229-3224

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

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	04/29/2008

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