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Edward Defreitas

Anesthesiology

Allopathic & Osteopathic Physicians

2010 59th St W, Ste 5600, Bradenton, FL 34209-4686

PECOS Enrollment

Based on the most recent information from CMS, provider Edward Defreitas is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1649232265
Provider Type
Individual
Full Name
Defreitas, Edward
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/6/2006
Last Updated
9/26/2007

Contact Information

Practice Location

2010 59th St W, Ste 5600, Bradenton, FL 34209-4686

(941) 798-3524

Unlisted Fax

Mailing Location

PO Box 552106, Tampa, FL 33655-0001

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License ME57232 Florida

Edward Defreitas

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Florida Anesthesia, Llc

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Smith, Uhuru

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Wolfe, Daniel Eugene

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Premier Anesthesia Of Florida Llc

Tran, Anthony

Ball, Clayton Garrett