Provider Demographics
NPI:1477559037
Name:FREEDLANDER, AARON G (DC)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:G
Last Name:FREEDLANDER
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 1:10000 SW 56TH ST
Mailing Address - Street 2:MIAMI
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7161
Mailing Address - Country:US
Mailing Address - Phone:305-279-4007
Mailing Address - Fax:305-279-4772
Practice Address - Street 1:10000 SW 56TH ST
Practice Address - Street 2:MIAMI
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7161
Practice Address - Country:US
Practice Address - Phone:305-279-4007
Practice Address - Fax:305-279-4772
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6269111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
22763OtherBCBS
FL381616800Medicaid
FL381616800Medicaid
22763OtherBCBS