Provider Demographics
NPI:1801061890
Name:FREEDMAN, JOSEPH (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:FREEDMAN
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3208 CHIQUITA BLVD S STE 110
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-4267
Mailing Address - Country:US
Mailing Address - Phone:239-574-8463
Mailing Address - Fax:239-574-8491
Practice Address - Street 1:3208 CHIQUITA BLVD S STE 110
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-4267
Practice Address - Country:US
Practice Address - Phone:239-574-8463
Practice Address - Fax:239-574-8491
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME110403207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NG224OtherMEDICARE PART B