MEDICARE: DR. JONATHAN FREED D.D.S.,P.A.

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	1223G0001X	General Practice Dentistry	DN16717	NY

General Provider Information

NPI Number	:	1831236231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN FREED D.D.S.,P.A.

Provider Business Mailing Address
First Line	:	401 E LAS OLAS BLVD STE 140
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-4226
Country	:	US
Telephone Number	:	954-524-6595
Fax Number	:	954-524-0561

Provider Business Practice Location Address
First Line	:	401 E LAS OLAS BLVD STE 140
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-4226
Country	:	US
Telephone Number	:	954-524-6595
Fax Number	:	954-524-0561

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

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1285125377 — MR. HANS AZEMARD DO
Practice Location Address:

8030 W MCNAB RD
NORTH LAUDERDALE, FL
33068-4226

Practice Phone: 305-303-9872
Practice Fax:

1639660731 — DAYONE
Practice Location Address:

8030 W MCNAB RD
NORTH LAUDERDALE, FL
33068-4226

Practice Phone: 305-303-9872
Practice Fax:

1043299456 — STEVEN GARY KESSLER MD
Practice Location Address:

1212 E BROWARD BLVD STE 204
FT LAUDERDALE, FL
33301-2121

Practice Phone: 954-496-4591
Practice Fax:

1538130281 — R. G. STRATT MD, PA
Practice Location Address:

100 N FEDERAL HWY , SUITE C-2
FT LAUDERDALE, FL
33301-1129

Practice Phone: 954-765-1316
Practice Fax: 954-765-1461

1861456543 — DR. ROBERT K HALL D.P.M.
Practice Location Address:

1211 E BROWARD BLVD
FT LAUDERDALE, FL
33301-2129

Practice Phone: 954-467-8554
Practice Fax: 954-467-0119

1801850797 — JOSE ORLANDO RUIZ P.T.
Practice Location Address:

1212 E BROWARD BLVD , SUITE 300
FT LAUDERDALE, FL
33301-2123

Practice Phone: 954-462-1526
Practice Fax: 954-761-9625

Directions to “ DR. JONATHAN FREED D.D.S.,P.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.