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NPI Code Detail

MEDICARE: FREEDOM HEALTH AND WELLNESS LLC

MEDICARE: FREEDOM HEALTH AND WELLNESS LLC
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
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770889057
Entity Type Code : Organization
Provider Name (Legal Business Name) : FREEDOM HEALTH AND WELLNESS LLC
Provider Business Mailing Address
First Line : PO BOX 2013
Second Line :
City : LADY LAKE
State : FL
Zip : 32158-2013
Country : US
Telephone Number : 863-835-0808
Fax Number :
Provider Business Practice Location Address
First Line : 9400 SAN JOSE BLVD
Second Line :
City : HOWEY IN THE HILLS
State : FL
Zip : 34737-5012
Country : US
Telephone Number : 863-835-0808
Fax Number :
Authorized Official
Title or Position : PHYSICIAN
Name : MARTIN SCHNELL
Credential :
Telephone Number : 352-409-4404
Provider Enumeration Date : 02/03/2011
Last Update Date : 06/03/2021

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Directions to “FREEDOM HEALTH AND WELLNESS LLC ” Practice Location

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