Healthcare Provider Details

I. General information

NPI: 1992774897
Provider Name (Legal Business Name): RUBEN DANIEL FELHANDLER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 10/27/2022
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

7441 WAYNE AVE APT 9J
MIAMI BEACH FL
33141-2534
US

V. Phone/Fax

Practice location:
  • Phone: 786-356-5242
  • Fax: 305-820-6020
Mailing address:
  • Phone: 305-389-5851
  • Fax: 305-820-6020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPO 3245
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: