Healthcare Provider Details

I. General information

NPI: 1598760308
Provider Name (Legal Business Name): DAVID S FELDMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 01/23/2019
Certification Date:
Deactivation Date: 03/17/2006
Reactivation Date: 03/27/2006

III. Provider practice location address

901 45TH ST KIMMEL BLDG
WEST PALM BEACH FL
33407-2413
US

IV. Provider business mailing address

901 45TH ST KIMMEL BLDG
WEST PALM BEACH FL
33407-2413
US

V. Phone/Fax

Practice location:
  • Phone: 561-844-5255
  • Fax: 561-844-5245
Mailing address:
  • Phone: 561-844-5255
  • Fax: 561-844-5245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number180295
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME125208
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberME125208
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberME125208
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: