MEDICARE: DR. MARIA FEDOR 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	207Q00000X	Family Medicine Physician	ME56611	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	:	1215926670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA FEDOR MD

Provider Business Mailing Address
First Line	:	1680 S OCEAN LN
Second Line	:	#151
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33316-3343
Country	:	US
Telephone Number	:	954-524-4522
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 NW 7TH AVE
Second Line	:	PHOENIX EMERGENCY MEDICINE OF BROWARD
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33311-9026
Country	:	US
Telephone Number	:	954-759-6793
Fax Number	:

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

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	05/13/2008

Similar Medicare Providers

1750383352 — MS. SHEILA GIBSON CNM
Practice Location Address:

200 NW 7TH AVE
FT LAUDERDALE, FL
33311-9026

Practice Phone: 954-355-5110
Practice Fax: 954-355-4919

1730176876 — DR. DARYL ANTHONY NORWOOD PHARM.D.
Practice Location Address:

200 NW 7TH AVE
FT LAUDERDALE, FL
33311-9026

Practice Phone: 954-759-6739
Practice Fax: 954-759-6625

1982693610 — GESSY TARGETE-JOHNSON CNM
Practice Location Address:

200 NW 7TH AVE , PHOENIX OBSTETRICS/GYNECOLOGY, LLC
FT LAUDERDALE, FL
33311-9026

Practice Phone: 954-759-6789
Practice Fax:

1609865336 — LORENA KAELBER CNM
Practice Location Address:

200 NW 7TH AVE , PHOENIX OBSTETRICS/GYNECOLOGY, LLC
FT LAUDERDALE, FL
33311-9026

Practice Phone: 954-759-6789
Practice Fax:

1588653760 — DR. MARK WALKER MD
Practice Location Address:

200 NW 7TH AVE , PHOENIX EMERGENCY MEDICINE OF BROWARD, LLC
FT LAUDERDALE, FL
33311-9026

Practice Phone: 954-759-6789
Practice Fax:

1144279233 — PHOENIX EMERGENCY MEDICINE OF BROWARD LLC
Practice Location Address:

200 NW 7TH AVE , PHOENIX PHYSICIANS
FT LAUDERDALE, FL
33311-9026

Practice Phone: 954-759-6789
Practice Fax: 919-425-0478

Directions to “ DR. MARIA FEDOR 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.