Healthcare Provider Details

I. General information

NPI: 1235342023
Provider Name (Legal Business Name): RUBEN D FELHANDLER DPM PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 10/27/2022
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 W 49TH ST STE 106
HIALEAH FL
33012-3436
US

IV. Provider business mailing address

935 W 49TH ST SUITE 106
HIALEAH FL
33012-3436
US

V. Phone/Fax

Practice location:
  • Phone: 786-356-5242
  • Fax: 305-820-6020
Mailing address:
  • Phone: 786-356-5242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO3245
License Number StateFL

VIII. Authorized Official

Name: RUBEN D FELHANDLER
Title or Position: PRESIDENT
Credential: DPM
Phone: 305-541-2030