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1114000775

NPI Code Detail

MEDICARE: ERIC BRIAN FEINBERG MD

MEDICARE: ERIC BRIAN FEINBERG 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	207V00000X	Obstetrics & Gynecology Physician	9900214	NC
2	207V00000X	Obstetrics & Gynecology Physician	ME140518	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	12266	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1114000775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC BRIAN FEINBERG MD

Provider Business Mailing Address
First Line	:	1454 MADISON AVE W
Second Line	:
City	:	IMMOKALEE
State	:	FL
Zip	:	34142-2200
Country	:	US
Telephone Number	:	239-658-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	12655 COLLIER BLVD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34116-4005
Country	:	US
Telephone Number	:	239-658-3000
Fax Number	:

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

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	04/08/2024

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Directions to “ ERIC BRIAN FEINBERG MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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