MEDICARE: DR. HYMAN FRIEDMAN BDS

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	DN11403	FL

General Provider Information

NPI Number	:	1922135730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HYMAN FRIEDMAN BDS

Provider Business Mailing Address
First Line	:	13830 VIA VINCI
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-3761
Country	:	US
Telephone Number	:	561-498-3655
Fax Number	:	561-276-2054

Provider Business Practice Location Address
First Line	:	1640 S FEDERAL HWY
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-5030
Country	:	US
Telephone Number	:	561-276-5800
Fax Number	:	561-276-2054

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

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	07/08/2007

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