| Olga Freeman, M.d.,p.a. | |
|
13641 Metropolis Ave Suite 101 Fort Myers FL 33912 | |
| (239) 225-7261 | |
| (239) 225-7945 |
| Full Name | Olga Freeman, M.d.,p.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 13641 Metropolis Ave, Fort Myers, Florida |
| Authorized Official Name and Position | Nancy E Williams (MEDICAL BILLING/CODING CLERK) |
| Authorized Official Contact | 2392257261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olga Freeman, M.d.,p.a. 13641 Metropolis Ave Suite 101 Fort Myers FL 33912 Ph: (239) 225-7261 | Olga Freeman, M.d.,p.a. 13641 Metropolis Ave Suite 101 Fort Myers FL 33912 Ph: (239) 225-7261 |
| NPI Number | 1669502704 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 11/09/2010 |
| Medicare PECOS PAC ID | 3274630959 |
|---|---|
| Medicare Enrollment ID | O20070514000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669502704 | NPI | - | NPPES |
| AC380 | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME68876 (Florida) | Primary |
| Provider Name | Olga S Freeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306848726 PECOS PAC ID: 4880790948 Enrollment ID: I20070507000169 |
Tele-id Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14192 Metropolis Ave, Fort Myers, FL 33912 Phone: 239-245-8223 Fax: 239-244-9481 | |
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