Freedom Medical Services Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2003-04658 Issued in FL

Legal business name

FREEDOM MEDICAL SERVICES INC

Practice address

4901 NW 17TH Way Ste 501
Fort Lauderdale, FL 33309-3774

Phone

(561) 338-4900

Fax

(561) 886-2777

NPI assigned

Aug 2, 2005

Organization subpart

Yes

Parent organization

FREEDOM MEDICAL SERVICES INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles T Thurman Jr, J.D.

Title

President

Phone

(561) 338-4900

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• FREEDOMED Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Freedom Medical Services Inc

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1275534026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 NW 17TH WAY STE 501",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093774",
            "telephone_number": "561-338-4900",
            "fax_number": "561-886-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 NW 17TH WAY STE 501",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093774",
            "telephone_number": "561-338-4900",
            "fax_number": "561-886-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MEDICAL SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREEDOM MEDICAL SERVICES INC",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "THURMAN JR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-338-4900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "2003-04658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568864",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7586942201",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139358741",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "459400200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936190",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101794100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FREEDOMED",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FREEDOMED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darcie J Freddolino
• Kenneth L. Frederick, LMFT
• Kristine Free, LPN
• Jonathan Freed, D.D.S.,P.A.
• Peter Freedland, MD
• Freedom Mind and Body Counseling LLC
• Freels Mental Health Group, PA
• Michael Freels, LMHC
• Freeman Mobile Orthodontics, PLLC
• Freeman Orthodontics P.a.

• Durable Medical Equipment & Medical Supplies in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.