Provider Demographics
NPI:1801185137
Name:FRIEDMAN, EITAN R (MD)
Entity Type:Individual
Prefix:
First Name:EITAN
Middle Name:R
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 N. KENDALL DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2212
Mailing Address - Country:US
Mailing Address - Phone:305-271-1515
Mailing Address - Fax:
Practice Address - Street 1:8700 N. KENDALL DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2212
Practice Address - Country:US
Practice Address - Phone:305-271-1515
Practice Address - Fax:305-271-1115
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0077282207R00000X
FLME131401207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine