MEDICARE: LEE FRIEDMAN M.D.

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	2085R0202X	Diagnostic Radiology Physician	036157011	IL
2	2085R0202X	Diagnostic Radiology Physician	TRN9198	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	:	1992867360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEE FRIEDMAN M.D.

Provider Business Mailing Address
First Line	:	655 W 8TH ST # C90
Second Line	:	CLINICAL CENTER, 1ST FLOOR
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-6511
Country	:	US
Telephone Number	:	904-244-4225
Fax Number	:	904-244-3383

Provider Business Practice Location Address
First Line	:	655 W 8TH ST # C90
Second Line	:	CLINICAL CENTER, 1ST FLOOR
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-6511
Country	:	US
Telephone Number	:	904-244-4225
Fax Number	:	904-244-3383

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

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	03/02/2026

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