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NPI Code Detail

MEDICARE: DR. ADAM S. FENICHEL M.D.

MEDICARE: DR. ADAM S. FENICHEL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0106XOrthopaedic Hand Surgery PhysicianME0064153FL
2207XS0106XOrthopaedic Hand Surgery PhysicianME64153FL
3207X00000XOrthopaedic Surgery PhysicianME0064153FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200019558OTHERFLRAILROAD
223425OTHERFLBC/BS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417956277
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM S. FENICHEL M.D.
Provider Business Mailing Address
First Line : 1285 ORANGE AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-4949
Country : US
Telephone Number : 407-647-2287
Fax Number : 407-643-2801
Provider Business Practice Location Address
First Line : 1285 ORANGE AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-4949
Country : US
Telephone Number : 407-647-2287
Fax Number : 407-643-2801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 11/04/2020

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