MEDICARE: DR. RUSSELL FEIT 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
1	208VP0014X	Interventional Pain Medicine Physician	ME138495	FL
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	ME138495	FL

General Provider Information

NPI Number	:	1942613989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUSSELL FEIT M.D.

Provider Business Mailing Address
First Line	:	1049 S STATE ROAD 7
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6135
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3335 BURNS RD STE 300
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4311
Country	:	US
Telephone Number	:	561-578-4582
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2014
Last Update Date	:	08/15/2023

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Directions to “ DR. RUSSELL FEIT M.D.” Practice Location

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