NPI | 1437760345 |
---|---|
Doing Business As | FREEDOM2CARE DPC, PLLC |
Entity Type | Organization |
Authorized Contact | BOUASY LY HUNEYCUTT President/Physician 984-200-9001 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2020-08-13 |
Last Update Date | 2025-01-22 |