Healthcare Provider Details

I. General information

NPI: 1487683686
Provider Name (Legal Business Name): ROBERT FELDMAN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 04/04/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 SW 11TH ST
OCALA FL
34471-0967
US

IV. Provider business mailing address

PO BOX 516
OCALA FL
34478-0516
US

V. Phone/Fax

Practice location:
  • Phone: 352-354-9000
  • Fax: 352-620-0255
Mailing address:
  • Phone: 352-289-0545
  • Fax: 352-347-4194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY DAVIS
Title or Position: CREDENTIALING
Credential:
Phone: 352-289-0545