Provider Demographics
NPI:1508094053
Name:FREYMAN, TARAH (DO)
Entity Type:Individual
Prefix:
First Name:TARAH
Middle Name:
Last Name:FREYMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4520 DONALD ROSS RD
Mailing Address - Street 2:STE 200
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418
Mailing Address - Country:US
Mailing Address - Phone:316-962-3030
Mailing Address - Fax:
Practice Address - Street 1:4520 DONALD ROSS RD
Practice Address - Street 2:STE 200
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418
Practice Address - Country:US
Practice Address - Phone:561-904-7200
Practice Address - Fax:561-624-4509
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS7185207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine