MEDICARE: SCOTT L FRIEDBERG DO

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	207Q00000X	Family Medicine Physician	OS8518	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1871615880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT L FRIEDBERG DO

Provider Business Mailing Address
First Line	:	6611 W BOYNTON BEACH BLVD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3526
Country	:	US
Telephone Number	:	561-369-2428
Fax Number	:	561-369-2429

Provider Business Practice Location Address
First Line	:	6611 W BOYNTON BEACH BLVD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3526
Country	:	US
Telephone Number	:	561-369-2428
Fax Number	:	561-369-2429

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	10/22/2008

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Directions to “ SCOTT L FRIEDBERG DO” Practice Location

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