Provider Demographics
NPI:1710043880
Name:FREEDLAND, BARBARA SHARON (RD)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:SHARON
Last Name:FREEDLAND
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6629 THOROUGHBRED LOOP
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-1814
Mailing Address - Country:US
Mailing Address - Phone:813-920-8459
Mailing Address - Fax:
Practice Address - Street 1:5622 MARINE PKWY
Practice Address - Street 2:SUITE 14
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4333
Practice Address - Country:US
Practice Address - Phone:727-846-7031
Practice Address - Fax:727-846-7132
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 3048133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered