Healthcare Provider Details

I. General information

NPI: 1548416068
Provider Name (Legal Business Name): FEINSTEIN MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2008
Last Update Date: 06/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6140 W ATLANTIC AVE
DELRAY BEACH FL
33484
US

IV. Provider business mailing address

6140 W ATLANTIC AVE
DELRAY BEACH FL
33484-8409
US

V. Phone/Fax

Practice location:
  • Phone: 561-498-4407
  • Fax: 561-498-4480
Mailing address:
  • Phone: 561-498-4407
  • Fax: 561-498-4480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberOS9067
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberOS9067
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207NI0002X
TaxonomyClinical & Laboratory Dermatological Immunology Physician
License NumberOS9067
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License NumberOS9067
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License NumberOS9067
License Number StateFL
# 6
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberOS9067
License Number StateFL

VIII. Authorized Official

Name: DR. BRIAN FEINSTEIN
Title or Position: OWNER
Credential: D.O.
Phone: 561-498-4407