Provider Demographics
NPI:1770889057
Name:FREEDOM HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:FREEDOM HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-409-4404
Mailing Address - Street 1:PO BOX 2013
Mailing Address - Street 2:
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32158-2013
Mailing Address - Country:US
Mailing Address - Phone:863-835-0808
Mailing Address - Fax:
Practice Address - Street 1:9400 SAN JOSE BLVD
Practice Address - Street 2:
Practice Address - City:HOWEY IN THE HILLS
Practice Address - State:FL
Practice Address - Zip Code:34737-5012
Practice Address - Country:US
Practice Address - Phone:863-835-0808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty