Northside Medical Clinic

LBN: Donald S Freedman Md Pa
Northside Medical Clinic is an health care organization with primary practice located at 480 Busch Dr , Jacksonville FL 32218-5553. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Donald S Freedman Md Pa can be contacted via phone (904) 764-5000, or through Wilson, Sharon Minger via phone (904) 764-5000.

Contact Information

Primary practice address
480 Busch Dr Jacksonville FL 32218-5553
Phone: (904) 764-5000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Sharon Minger MGR
Phone: (904) 764-5000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME 31964 Florida
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X OS58811 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME31964 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME49644 Florida

Profile Details

NPI number 1730378043
LBN Legal business name Donald S Freedman Md Pa
DBA Doing business as Northside Medical Clinic
Authorized official Wilson, Sharon Minger MGR
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2007
Last updated Apr 1st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730378043 NPPES
Florida Other 62840 BLUE SHIELD OF FLORIDA

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