MEDICARE: MARIA FREEMAN

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1891245239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA FREEMAN

Provider Business Mailing Address
First Line	:	5079 N DIXIE HWY
Second Line	:	UNIT 323
City	:	OAKLAND PARK
State	:	FL
Zip	:	33334-4000
Country	:	US
Telephone Number	:	954-462-4599
Fax Number	:	954-761-7740

Provider Business Practice Location Address
First Line	:	4055 N ANDREWS AVE
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33309-5269
Country	:	US
Telephone Number	:	954-462-4599
Fax Number	:	954-761-7740

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

Provider Enumeration Date	:	10/10/2016
Last Update Date	:	05/07/2019

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Directions to “ MARIA FREEMAN ” Practice Location

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