Provider Demographics
NPI:1003816034
Name:FREEDLAND, BETH (DO)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:FREEDLAND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301A W PALMETTO PARK RD
Mailing Address - Street 2:SUITE 301A
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3409
Mailing Address - Country:US
Mailing Address - Phone:561-961-5456
Mailing Address - Fax:561-672-7953
Practice Address - Street 1:7301A W PALMETTO PARK RD
Practice Address - Street 2:SUITE 301A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3409
Practice Address - Country:US
Practice Address - Phone:561-961-5456
Practice Address - Fax:561-672-7953
Is Sole Proprietor?:No
Enumeration Date:2005-08-01
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8499207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL266493300Medicaid
FL266493300Medicaid