SANDRA LYNN FREYMUTH (NPI# 1265805386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265805386 |
Entity Type | Individual |
Full Name | SANDRA LYNN FREYMUTH |
Other Name | SANDRA FREYMUTH NICHOLS |
Credential | CSFA |
Practice Address |
6211 Nw 34th Ave Fort Lauderdale FL 33309-1602 |
Practice Telephone | 9543698508 |
Mailing Telephone | 9543698508 |
Enumeration Date | 2015-11-11 |
Last Update Date | 2016-06-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
6211 NW 34TH AVE |
City | FORT LAUDERDALE |
State | FL |
Zip Code | 33309-1602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235589334 | Dock and Roll LLC | Physician Assistant | 6211 Nw 34th Ave, Fort Lauderdale, FL 33309-1602 | 2016-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942841507 | Integrity Home Care Plus LLC | In Home Supportive Care | 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 | 2019-10-04 |
1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
1114579752 | Jewel Porter | Behavior Technician | 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 | 2019-07-14 |
1003318049 | Tri County Pet LLC | Clinic/Center | 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 | 2018-03-06 |
1821508722 | Rose Marie Cecile Dyer | Home Health Aide | 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 | 2017-10-05 |
1245756790 | Kattys Elena Mendoza | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-16 |
1669902847 | Sharon Desir | Social Worker | 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 | 2017-06-19 |
1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
1124564281 | Alloy Behavioral Health Solutions, Inc | Specialist | 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 | 2017-01-13 |
1740738855 | Christina Camarena | Behavior Technician | 6414 Nw 5th Way, Fort Lauderdale, FL 33309 | 2016-09-18 |
Find all providers in zip 33309 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154885010 | Chelsea Sophia Zaccario | Physician Assistant | 1625 Se 3rd Ave # 300, Fort Lauderdale, FL 33316-2521 | 2019-01-24 |
1598272726 | Elizabeth Vukelich Austin | Physician Assistant | 1625 Se 3rd Ave # 723, Fort Lauderdale, FL 33316-2521 | 2018-01-09 |
1073526513 | Toribio Castillo | Physician Assistant | 6550 North Federal Highway, Ste 512, Fort Lauderdale, FL 33308-1417 | 2006-08-14 |
1023017704 | Kathy Ann Zimmer | Physician Assistant | 6550 N Federal Hwy, Suite 512, Fort Lauderdale, FL 33308-1404 | 2005-07-15 |
1780247189 | Oceanside Elite Surgical Assisting, LLC | Physician Assistant | 3319 Ne 15th Ct, Fort Lauderdale, FL 33304-1709 | 2019-04-21 |
1306321781 | Marissa Ziegler | Physician Assistant | 1995 E Oakland Park Blvd Ste 250, Fort Lauderdale, FL 33306-1149 | 2018-10-01 |
1205327749 | Priscila Marie Gamiotea | Physician Assistant | 3000 Bayview Dr, Fort Lauderdale, FL 33306-1772 | 2018-05-21 |
1518466333 | Andrew Michael Walters | Physician Assistant | 1995 E Oakland Park Blvd Ste 250, Fort Lauderdale, FL 33306-1149 | 2018-02-07 |
1235589334 | Dock and Roll LLC | Physician Assistant | 6211 Nw 34th Ave, Fort Lauderdale, FL 33309-1602 | 2016-06-20 |
1104294099 | Andrea Burns | Physician Assistant | 1625 Se 3rd Ave, Suite 300, Fort Lauderdale, FL 33316-2521 | 2015-09-09 |
Find all providers in FORT LAUDERDALE |
City | FORT LAUDERDALE |
Zip Code | 33309 |
Please comment or provide details below to improve the information on SANDRA LYNN FREYMUTH.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.