DR. HARRIS FREED


Address: 4063 Salisbury Rd, Suite 100, Jacksonville, FL 32216-8030
Phone: 3212921398

DR. HARRIS FREED (NPI# 1366435562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366435562
Entity Type Individual
Full Name DR. HARRIS FREED
Credential M.D.
Practice Address 4063 Salisbury Rd
Suite 100
Jacksonville
FL 32216-8030
Mailing Address 3340 Peachtree Rd Ne
Suite 2025
Atlanta
GA 30326-1000
Practice Telephone 3212921398
Mailing Telephone 3212921398
Enumeration Date 2005-08-24
Last Update Date 2013-07-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
70382 GA Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
35.051853 OH Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
ME 57009 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0703920 05
FL MEDICAID NPI 275534300 01
FL MEDICARE FLORIDA U7743Z 01

Office Location

Street Address 4063 SALISBURY RD
SUITE 100
City JACKSONVILLE
State FL
Zip Code 32216-8030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508355181 Integrated Pain Services Inc Pain Medicine 4063 Salisbury Rd, Jacksonville, FL 32216-8030 2018-05-09
1164877130 Ramona Ursula Moraska Occupational Therapy Assistant 4063 Salisbury Rd, Suite 210, Jacksonville, FL 32216-8030 2016-04-27
1215082532 Metropolitan Pain Management Center Inc Anesthesiology 4063 Salisbury Rd, Suite 206, Jacksonville, FL 32216-8030 2007-01-25
1811927650 Memorial Neurosurgery Group LLC Neurological Surgery 4063 Salisbury Rd, Suite 210, Jacksonville, FL 32216-8030 2006-07-04
1184688368 Ismail Salahi Pain Medicine 4063 Salisbury Rd, Suite 206, Jacksonville, FL 32216-8030 2006-04-14
1083684617 Shirley Ann Collins Advanced Practice Midwife 4063 Salisbury Rd, #205, Jacksonville, FL 32216-8030 2006-01-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316596471 Summerlin Imaging Center LLC Radiology 3550 University Blvd S Ste 102, Jacksonville, FL 32216-4227 2019-09-10
1275038671 William Austin Forshee Radiology 655 W 8th St Fl 2, Jacksonville, FL 32209-6511 2018-03-27
1316449267 F&s Radiology, P.C. Radiology 10045 Richton Ct, Jacksonville, FL 32246-1885 2018-03-07
1679025522 Diagnostic Imaging Partners Radiology 2000 Brabham Avenue, Suite 110, Jacksonville, NC 28546 2016-10-26
1689052359 Coastal Vein & Vascular Institute, LLC Radiology 7741 Point Meadows Dr, Unit 104-106, Jacksonville, FL 32256-9182 2015-05-13
1316385024 Matthew Hal Jenson Radiology 655 W 8th St # C-90, Jacksonville, FL 32209-6511 2013-06-05
1740557917 Rmed LLC Radiology 4348 Southpoint Blvd., Suite 100c, Jacksonville, FL 32216-0903 2011-11-16
1952618324 Edgardo Alberto Agrait-bertran Radiology 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 2010-09-08
1477788982 David A Walker Md Pa Radiology 8040 Woodpecker Trl, Jacksonville, FL 32256-7333 2009-05-28
1245465343 Kyle Hayden Radiology 1303 Greenridge Rd, Jacksonville, FL 32207-5334 2009-05-19
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Competitor

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City JACKSONVILLE
Zip Code 32216

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Dataset Information

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.

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