Individual provider Active NPI

Jeffrey E Friedman, MD

  • Surgery Physician
  • Lakeland, FL
National Provider Identifier
1336160274
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME96345 Issued in FL
Practice address
3003 S Florida Ave Ste 101
Lakeland, FL 33803-4050
Phone
(800) 991-6117
Fax
(888) 812-8191
NPI assigned
Jul 23, 2006
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME96345 FL Primary
Phlebology Physician 202K00000X ME96345 FL

Addresses

Primary practice location

3003 S Florida Ave Ste 101
Lakeland, FL 33803-4050

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (800) 991-6117

Other practice location 1

1600 SW Archer Rd
Room 6165
Gainesville, FL 32610-0109
Phone (352) 265-0761

Other identifiers 1

IdentifierTypeStateIssuer
276537300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000539 FL Practitioner - General Surgery 8022102672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Mississippi School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wazni PLLCGroup PAC ID 2860629466, 30 clinicians

Practice addresses (Care Compare)

3003 S Florida Ave
Suite 101
Lakeland, FL 33803-4050
Phone (800) 991-6117

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME96345FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Surgery CurrentSince May 11, 2015 Accepting new patients
Wazni, PLLC Surgery CurrentSince Nov 1, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince May 11, 2015 Accepting new patients
The Surgery Group PA Surgery Past Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1600 SW Archer Rd
Rm 6165
Gainesville, FL 32610
Phone (352) 265-0169

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

3003 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 687-8990

4619 Little Rd
New Pt Richey, FL 34655
Phone (727) 372-9918

295 NW Peacock Blvd
Port St Lucie, FL 34986

3657 Madaca Ln
Tampa, FL 33618

3810 Northdale Blvd
Ste 260
Tampa, FL 33624

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1336160274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 S FLORIDA AVE STE 101",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034050",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_2": "Room 6165",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326100109",
            "country_code": "US",
            "telephone_number": "352-265-0761",
            "fax_number": "352-265-1060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME96345",
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "ME96345",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276537300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.