Healthcare Provider Details

I. General information

NPI: 1174824577
Provider Name (Legal Business Name): JEFFREY FEILER DC. PA.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2010
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 UNIVERSITY DR
CORAL SPRINGS FL
33071
US

IV. Provider business mailing address

1500 N UNIVERSITY DR STE 106
CORAL SPRINGS FL
33071-6071
US

V. Phone/Fax

Practice location:
  • Phone: 954-970-9355
  • Fax: 954-755-9347
Mailing address:
  • Phone: 954-970-9355
  • Fax: 954-755-9347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY M FEILER
Title or Position: OWNER
Credential: DC
Phone: 954-970-9355