Provider Demographics
NPI:1689866287
Name:FREEDMAN & SPOONT, P.A.
Entity Type:Organization
Organization Name:FREEDMAN & SPOONT, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SPOONT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-482-8000
Mailing Address - Street 1:21301 POWERLINE RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-2388
Mailing Address - Country:US
Mailing Address - Phone:561-482-8000
Mailing Address - Fax:
Practice Address - Street 1:21301 POWERLINE RD
Practice Address - Street 2:208
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-2388
Practice Address - Country:US
Practice Address - Phone:561-482-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental