Provider Demographics
NPI:1558596452
Name:FRIEDMAN, MONICA LAUREN (DO)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:LAUREN
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MONICA
Other - Middle Name:LAUREN
Other - Last Name:MARCUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:60 W GORE ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1141
Mailing Address - Country:US
Mailing Address - Phone:352-294-5252
Mailing Address - Fax:352-294-5248
Practice Address - Street 1:60 W GORE ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1141
Practice Address - Country:US
Practice Address - Phone:352-294-5252
Practice Address - Fax:352-294-5248
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO2076208000000X
TXQ62292080P0216X
NY265826208000000X
FLOS116972080P0216X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics