MEDICARE: DR. DAVID WARD FELD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME32414	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033246749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID WARD FELD MD

Provider Business Mailing Address
First Line	:	210 JUPITER LAKES BLVD STE 4101
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-7190
Country	:	US
Telephone Number	:	561-747-3777
Fax Number	:	561-746-4720

Provider Business Practice Location Address
First Line	:	210 JUPITER LAKES BLVD STE 4101
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-7190
Country	:	US
Telephone Number	:	561-747-3777
Fax Number	:	561-746-4720

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	12/02/2011

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