Provider Demographics
NPI:1437265097
Name:MERYL FRIEDMAN PA
Entity Type:Organization
Organization Name:MERYL FRIEDMAN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERYL
Authorized Official - Middle Name:FRIEDMAN
Authorized Official - Last Name:PARR
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:561-212-7664
Mailing Address - Street 1:6787 FIJI CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-7024
Mailing Address - Country:US
Mailing Address - Phone:561-212-7664
Mailing Address - Fax:561-752-5313
Practice Address - Street 1:6787 FIJI CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-7024
Practice Address - Country:US
Practice Address - Phone:561-212-7664
Practice Address - Fax:561-752-5313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1230225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7542Medicare ID - Type UnspecifiedGROUP