MEDICARE: KENNETH FRIEDMAN D.P.M.

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	213E00000X	Podiatrist	PO2098	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	65243	OTHER	FL	BLUE CROSS BLUE SHIELD
2	2700455	OTHER	FL	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1952388431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH FRIEDMAN D.P.M.

Provider Business Mailing Address
First Line	:	2835 W DE LEON ST
Second Line	:	SUITE 101
City	:	TAMPA
State	:	FL
Zip	:	33609-4168
Country	:	US
Telephone Number	:	813-254-6592
Fax Number	:	813-254-3634

Provider Business Practice Location Address
First Line	:	1700 N MCMULLEN BOOTH RD
Second Line	:	SUITE A2-B
City	:	CLEARWATER
State	:	FL
Zip	:	33759-2130
Country	:	US
Telephone Number	:	727-725-2719
Fax Number	:	727-724-0729

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

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	12/05/2007

Similar Medicare Providers

1619967528 — DR. WILLIAM ALVAREZ D.O.
Practice Location Address:

1700 N MCMULLEN BOOTH RD , SUITE C3
CLEARWATER, FL
33759-2130

Practice Phone: 727-723-3921
Practice Fax: 727-723-1562

1851340517 — DR. OLALEKAN PETER OLUFEMI M.D.
Practice Location Address:

1700 N MCMULLEN BOOTH RD , SUITE D-1
CLEARWATER, FL
33759-2130

Practice Phone: 727-669-3800
Practice Fax: 727-669-5600

1922036086 — DR. BRIAN WILLIAM FULLEM DPM
Practice Location Address:

1700 N MCMULLEN BOOTH RD , #C-2
CLEARWATER, FL
33759-2130

Practice Phone: 727-330-7646
Practice Fax: 727-330-7645

1134150550 — CHRISTINE P POINDEXTER MYATT M.D.
Practice Location Address:

1700 N MCMULLEN BOOTH RD , STE D-1
CLEARWATER, FL
33759-2130

Practice Phone: 727-669-3800
Practice Fax: 727-669-5600

1922104835 — DR. KENNETH IYAMU M.D
Practice Location Address:

1700 N MCMULLEN BOOTH RD , D1
CLEARWATER, FL
33759-2130

Practice Phone: 727-669-3800
Practice Fax: 727-669-5600

1821196718 — DR. STEPHEN THOMAS PEREZ D.D.S.
Practice Location Address:

1700 N MCMULLEN BOOTH RD , SUITE A-1
CLEARWATER, FL
33759-2130

Practice Phone: 727-797-8444
Practice Fax: 727-797-8575

Directions to “ KENNETH FRIEDMAN D.P.M.” 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.