| Dr Eugene B Freid, MD | |
|
110 S Serenata Dr Unit 412, Ponte Vedra, FL 32082-4574 | |
| (904) 368-6578 | |
| Not Available |
| Full Name | Dr Eugene B Freid |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology - Pediatric Anesthesiology |
| Location | 110 S Serenata Dr Unit 412, Ponte Vedra, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134197486 | NPI | - | NPPES |
| 384615513A | Medicaid | GA | |
| 272479100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ME93075 (Florida) | Secondary |
| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | ME93075 (Florida) | Primary |
| Entity Name | Us Anesthesia Partners Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Entity Name | Anesthesiology Professional Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902856891 PECOS PAC ID: 4688577141 Enrollment ID: O20040130000927 |
| Entity Name | Gulfcoast Spine Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639132616 PECOS PAC ID: 0749226215 Enrollment ID: O20061121000503 |
| Entity Name | Millenium Medical Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366645376 PECOS PAC ID: 3577656339 Enrollment ID: O20070910000773 |
| Entity Name | Fleming Island Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eugene B Freid, MD 110 S Serenata Dr Unit 412, Ponte Vedra, FL 32082-4574 Ph: (904) 368-6578 | Dr Eugene B Freid, MD 110 S Serenata Dr Unit 412, Ponte Vedra, FL 32082-4574 Ph: (904) 368-6578 |
Dr. Julia Anne Tatum Hunter, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1102 Florida A1a North, Dr. Ozdemir Office St 104, Ponte Vedra, FL 32082 Phone: 310-247-8744 Fax: 310-247-0181 |