Provider Demographics
NPI:1437323052
Name:FRIEDMAN, GARRY I (DC)
Entity Type:Individual
Prefix:DR
First Name:GARRY
Middle Name:I
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8510 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2034
Mailing Address - Country:US
Mailing Address - Phone:305-227-1742
Mailing Address - Fax:305-227-2595
Practice Address - Street 1:8510 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2034
Practice Address - Country:US
Practice Address - Phone:305-227-1742
Practice Address - Fax:305-227-2595
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0004385111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor