Provider Demographics
NPI:1740162981
Name:FREUD TELEMAQUE, M.D. P.A.
Entity type:Organization
Organization Name:FREUD TELEMAQUE, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FREUD
Authorized Official - Middle Name:H
Authorized Official - Last Name:TELEMAQUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-790-6330
Mailing Address - Street 1:10190 COLLINS AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:BAL HARBOUR
Mailing Address - State:FL
Mailing Address - Zip Code:33154-1611
Mailing Address - Country:US
Mailing Address - Phone:317-790-6330
Mailing Address - Fax:954-526-3519
Practice Address - Street 1:735 E OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-2747
Practice Address - Country:US
Practice Address - Phone:954-796-4374
Practice Address - Fax:954-526-3519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty