Provider Demographics
NPI:1215163803
Name:EDDI-ANN FREEMAN AND ASSOCIATES PA
Entity type:Organization
Organization Name:EDDI-ANN FREEMAN AND ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDDI-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:305-667-8804
Mailing Address - Street 1:2701 S BAYSHORE DR STE 401
Mailing Address - Street 2:
Mailing Address - City:COCONUT GROVE
Mailing Address - State:FL
Mailing Address - Zip Code:33133-5359
Mailing Address - Country:US
Mailing Address - Phone:305-667-8804
Mailing Address - Fax:
Practice Address - Street 1:2701 S BAYSHORE DR STE 401
Practice Address - Street 2:
Practice Address - City:COCONUT GROVE
Practice Address - State:FL
Practice Address - Zip Code:33133-5359
Practice Address - Country:US
Practice Address - Phone:305-667-8804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty