Provider Demographics
NPI:1528257771
Name:FRIEDMAN, MERLE JOYCE (AP, LD/N)
Entity type:Individual
Prefix:MS
First Name:MERLE
Middle Name:JOYCE
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:AP, LD/N
Other - Prefix:MISS
Other - First Name:MERLE
Other - Middle Name:JOYCE
Other - Last Name:FELDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:902 W LUMSDEN RD STE 101
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-8806
Mailing Address - Country:US
Mailing Address - Phone:813-385-3835
Mailing Address - Fax:813-324-9800
Practice Address - Street 1:902 W LUMSDEN RD STE 101
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-8806
Practice Address - Country:US
Practice Address - Phone:813-381-3835
Practice Address - Fax:813-324-9800
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND0001556133V00000X
FLAP 2449171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered