Provider Demographics
NPI:1477600989
Name:FREEDMAN, ALAN ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:ROBERT
Last Name:FREEDMAN
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 1:190 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-2234
Mailing Address - Country:US
Mailing Address - Phone:954-433-0300
Mailing Address - Fax:954-433-8268
Practice Address - Street 1:190 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-2234
Practice Address - Country:US
Practice Address - Phone:954-433-0300
Practice Address - Fax:954-433-8268
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006528111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL019191600Medicaid
U41675Medicare UPIN
FL22880ZMedicare PIN