Provider Demographics
NPI:1861680407
Name:ROBERT J. FRIEDMAN,M.D.,P.A.
Entity Type:Organization
Organization Name:ROBERT J. FRIEDMAN,M.D.,P.A.
Other - Org Name:HEADACHE AND PAIN CENTER OF PALM BEACH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-748-0528
Mailing Address - Street 1:1015 W INDIANTOWN RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6839
Mailing Address - Country:US
Mailing Address - Phone:561-748-0528
Mailing Address - Fax:561-748-4718
Practice Address - Street 1:1015 W INDIANTOWN RD
Practice Address - Street 2:SUITE 202
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-6839
Practice Address - Country:US
Practice Address - Phone:561-748-0528
Practice Address - Fax:561-748-4718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL74807Medicare PIN