Healthcare Provider Details

I. General information

NPI: 1982713632
Provider Name (Legal Business Name): DONALD SCOTT FEATHERMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 CATTLEMEN RD SUITE 600
SARASOTA FL
34232-6283
US

IV. Provider business mailing address

2020 CATTLEMEN RD SUITE 600
SARASOTA FL
34232-6283
US

V. Phone/Fax

Practice location:
  • Phone: 941-955-5191
  • Fax: 941-366-7582
Mailing address:
  • Phone: 941-955-5191
  • Fax: 941-366-7582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME 47974
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: