Provider Demographics
NPI:1053510024
Name:FREEMAN, FELECIA MICHELLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:FELECIA
Middle Name:MICHELLE
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33820 TERRAGONA DR
Mailing Address - Street 2:
Mailing Address - City:SORRENTO
Mailing Address - State:FL
Mailing Address - Zip Code:32776-6917
Mailing Address - Country:US
Mailing Address - Phone:352-346-5855
Mailing Address - Fax:352-729-2508
Practice Address - Street 1:33820 TERRAGONA DR
Practice Address - Street 2:
Practice Address - City:SORRENTO
Practice Address - State:FL
Practice Address - Zip Code:32776-6917
Practice Address - Country:US
Practice Address - Phone:352-346-5855
Practice Address - Fax:352-729-2508
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2992112163W00000X
FL253Z00000X, 385H00000X, 372600000X, 372500000X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No372600000XNursing Service Related ProvidersAdult Companion
No372500000XNursing Service Related ProvidersChore Provider
No376J00000XNursing Service Related ProvidersHomemaker