Provider Demographics
NPI:1154311140
Name:FREEDMAN, ALAN M (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:M
Last Name:FREEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:14003 LAKESHORE BLVD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-7124
Mailing Address - Country:US
Mailing Address - Phone:727-868-9442
Mailing Address - Fax:727-862-6210
Practice Address - Street 1:14003 LAKESHORE BLVD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-7124
Practice Address - Country:US
Practice Address - Phone:727-868-9442
Practice Address - Fax:727-862-6210
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2008-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME35395207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0805231OtherUNITED HEALTHCARE
FL30239OtherBCBSFL
FL039163800Medicaid
FL180003527OtherRR MEDICARE
FL180003527OtherRR MEDICARE
FLD62148Medicare UPIN