Basic Information
| Provider Information | |||||||||
| NPI: | 1659597920 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FREUND | ||||||||
| FirstName: | TODD | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4000 NW 51ST ST | ||||||||
| Address2: | APT # D66 | ||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 326064333 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9135221535 | ||||||||
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| Practice Location | |||||||||
| Address1: | UNIVERSITY OF FLORIDA MEDICAL CENTER | ||||||||
| Address2: | 1600 SW ARCHER ROAD | ||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 326100254 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3522650077 | ||||||||
| FaxNumber: | 3522656922 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 11740 | FL | X | Allopathic & Osteopathic Physicians | Anesthesiology | 207R00000X | 946565 | KS | X | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.