MEDICARE: HARRY FREEMAN JR. ARNP-BC

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	363LF0000X	Family Nurse Practitioner	RN9281641	FL

General Provider Information

NPI Number	:	1972037299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRY FREEMAN JR. ARNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 10506
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33419-0506
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7382 CENTRAL INDUSTRIAL DR
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-3426
Country	:	US
Telephone Number	:	561-863-8004
Fax Number	:	561-863-8005

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

Provider Enumeration Date	:	04/13/2017
Last Update Date	:	04/13/2017

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