Active NPI
Mitchell J Freed MD PL
- Physical Medicine & Rehabilitation Physician
- Orlando, FL
National Provider Identifier
1053621086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME53196
- Legal business name
- MITCHELL J FREED MD PL
- Practice address
- 2501 N Orange Ave
Suite 505
Orlando, FL 32804-4603 - Phone
- (407) 898-2924
- Fax
- (407) 894-5387
- NPI assigned
- Oct 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mitchell J Freed, M.D.
- Title
- Owner/President
- Phone
- (407) 898-2924
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ME53196 | FL | Primary |
Addresses
Primary practice location
2501 N Orange Ave
Suite 505
Orlando, FL 32804-4603
Mailing address
2501 N Orange Ave
Suite 505
Orlando, FL 32804-4603
Phone (407) 898-2924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048186600 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Orlando, FL
- NPI 1215944533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286496000000",
"number": "1053621086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 N ORANGE AVE",
"address_2": "SUITE 505",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044603",
"telephone_number": "407-898-2924",
"fax_number": "407-894-5387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N ORANGE AVE",
"address_2": "SUITE 505",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044603",
"telephone_number": "407-898-2924",
"fax_number": "407-894-5387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITCHELL J FREED MD PL",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-08",
"last_updated": "2010-10-08",
"status": "A",
"authorized_official_last_name": "FREED",
"authorized_official_first_name": "MITCHELL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "407-898-2924",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME53196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "048186600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.