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General NPI Number Information
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NPI Number | 1881880284
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Entity Type | Organization
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Legal Business Name | MARC FELDMAN DPM PA
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 4900 SUN N LAKE BLVD
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City | SEBRING
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State | FL
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Zip | 33872-2167
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Country | US
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Telephone | 863-385-5506
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Fax | 863-385-4560
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Provider Business Mailing Address
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Address Line | 4900 SUN N LAKE BLVD
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City | SEBRING
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State | FL
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Zip | 33872-2167
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Country | US
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Telephone | 863-385-5506
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Fax | 863-385-4560
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. ILISABETH FELDMAN
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Credential |
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Telephone | 863-604-4431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO3117
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License Number State | FL
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