Provider Demographics
NPI:1699482463
Name:FRIMAN, ALEXANDER (APRN)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:FRIMAN
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1433 SW ORIOLE LN
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-2275
Mailing Address - Country:US
Mailing Address - Phone:772-240-2768
Mailing Address - Fax:
Practice Address - Street 1:1420 SW SAINT LUCIE WEST BLVD STE 107
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-1709
Practice Address - Country:US
Practice Address - Phone:772-879-1112
Practice Address - Fax:772-879-1167
Is Sole Proprietor?:No
Enumeration Date:2022-11-01
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11022769363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily