Healthcare Provider Details

I. General information

NPI: 1841266905
Provider Name (Legal Business Name): STEVEN LEE FELDMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 09/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7351 W OAKLAND PARK BLVD STE 104
TAMARAC FL
33319-7107
US

IV. Provider business mailing address

7351 W OAKLAND PARK BLVD STE 104
TAMARAC FL
33319-7107
US

V. Phone/Fax

Practice location:
  • Phone: 954-741-5800
  • Fax: 954-741-7828
Mailing address:
  • Phone: 954-741-5800
  • Fax: 954-741-7828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberME0035390
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: