Provider Demographics
NPI:1750100152
Name:FREEDOM ORTHOPAEDICS LLC
Entity type:Organization
Organization Name:FREEDOM ORTHOPAEDICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-695-6284
Mailing Address - Street 1:4280 SAINT CHARLES WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-5359
Mailing Address - Country:US
Mailing Address - Phone:954-695-6284
Mailing Address - Fax:561-710-2866
Practice Address - Street 1:9960 CENTRAL PARK BLVD N STE 225
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1705
Practice Address - Country:US
Practice Address - Phone:954-695-6284
Practice Address - Fax:561-710-2866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty