Provider Demographics
NPI:1477333169
Name:FREITAS, ENYLLOP (DC)
Entity Type:Individual
Prefix:DR
First Name:ENYLLOP
Middle Name:
Last Name:FREITAS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11431 81ST CT N
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33412-1532
Mailing Address - Country:US
Mailing Address - Phone:954-495-5622
Mailing Address - Fax:
Practice Address - Street 1:3200 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-9090
Practice Address - Country:US
Practice Address - Phone:561-877-5525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14457111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor