Freid, Eugene B.
Freid, Eugene B. is an individual health care provider with primary practice located at 110 S Serenata Dr Unit 412 , Ponte Vedra FL 32082-4574. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Freid, Eugene B. can be contacted via phone (904) 368-6578.Contact Information
Primary practice address
110 S Serenata Dr Unit 412
Ponte Vedra FL 32082-4574
Phone: (904) 368-6578
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME93075 | Florida |
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | ME93075 | Florida |
Profile Details
NPI number | 1134197486 |
---|---|
LBN Legal business name | Freid, Eugene B. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 12th, 2006 |
Last updated | Mar 3rd, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134197486 | NPPES |
Georgia | MEDICAID | 384615513A | |
Georgia | MEDICAID | 272479100 |
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