Provider Demographics
NPI:1346254125
Name:FREEMAN, DEBRA E (MD)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:E
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 NORTHBROOKE PLAZA DR UNIT 207
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-8099
Mailing Address - Country:US
Mailing Address - Phone:239-262-5168
Mailing Address - Fax:239-262-8524
Practice Address - Street 1:2575 NORTHBROOKE PLAZA DR
Practice Address - Street 2:203
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-7961
Practice Address - Country:US
Practice Address - Phone:239-262-5168
Practice Address - Fax:239-262-8524
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00599422085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12580OtherBCBS OF FL
FL057715400Medicaid
FL12580OtherBCBS OF FL
FL12580WMedicare PIN
FL12580VMedicare PIN