Freedy, Robert Marvin

Freedy, Robert Marvin is an individual health care provider with primary practice located at 5539 Marine Pkwy , New Port Richey FL 34652-4329. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Freedy, Robert Marvin can be contacted via phone (727) 841-8225.

Contact Information

Primary practice address
5539 Marine Pkwy New Port Richey FL 34652-4329
Fax: (727) 846-8549
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0066628 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0066628 Florida

Profile Details

NPI number 1265470504
LBN Legal business name Freedy, Robert Marvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Sep 22nd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265470504 NPPES
Florida MEDICAID 376986100

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