Provider Demographics
NPI:1164819751
Name:FRIEDBERG, ANNE ILONA (AP)
Entity Type:Individual
Prefix:MISS
First Name:ANNE
Middle Name:ILONA
Last Name:FRIEDBERG
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 SW 1ST ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-3557
Mailing Address - Country:US
Mailing Address - Phone:954-270-5470
Mailing Address - Fax:754-200-8089
Practice Address - Street 1:130 N DIXIE HWY
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6704
Practice Address - Country:US
Practice Address - Phone:954-270-5470
Practice Address - Fax:754-200-8089
Is Sole Proprietor?:No
Enumeration Date:2015-04-21
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3420171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist