Provider Demographics
NPI:1932311172
Name:FRIEDMAN, STEVEN HOWARD (DC, AP)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:HOWARD
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:DC, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4624 N ARMENIA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-2706
Mailing Address - Country:US
Mailing Address - Phone:813-874-2646
Mailing Address - Fax:813-874-2656
Practice Address - Street 1:4624 N ARMENIA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-2706
Practice Address - Country:US
Practice Address - Phone:813-874-2646
Practice Address - Fax:813-874-2656
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH06001111N00000X
FLAC01414171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70436AMedicare ID - Type UnspecifiedBLUE CROSSBLUE SHIELD