Michael L Friedman, DPM – Foot Surgery Podiatrist

Key facts

NPI: 1366417370
Entity type: Individual (NPI type 1)
Primary specialty: Foot Surgery Podiatrist 213ES0131X
License: PO1375 (FL)
Practice address: 542067 US Hwy 1
Callahan, FL 32011
Phone: (904) 879-2552
Fax: (904) 879-6360
NPI assigned: Feb 22, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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

Friedman & Greenhut, DPM, PA Durable Medical Equipment & Medical Supplies · Jacksonville, FL · NPI 1386861870

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
PO1375	FL	MD	Foot Surgery Podiatrist

Practice roles

Organization	Specialty	Status	New patients
Friedman & Greenhut, DPM, PA		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Foot Surgery Podiatrist	213ES0131X	PO1375	FL	Yes

Addresses

Primary practice location

542067 US Hwy 1
Callahan, FL 32011

Mailing address

PO Box 1578
Callahan, FL 32011
Phone (904) 879-2552

Other identifiers

Identifier	Type	State	Issuer
340517600	Medicaid	FL

Other providers in Callahan, FL

All providers in Callahan, FL · Foot Surgery Podiatrist in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.