MEDICARE: DR. SHELDON HARRIS FELDMAN M.D.

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	207W00000X	Ophthalmology Physician	19244	FL

General Provider Information

NPI Number	:	1396719308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELDON HARRIS FELDMAN M.D.

Provider Business Mailing Address
First Line	:	4959 N STATE ROAD 7
Second Line	:	SUITE F
City	:	TAMARAC
State	:	FL
Zip	:	33319-5871
Country	:	US
Telephone Number	:	954-739-3733
Fax Number	:	954-777-0076

Provider Business Practice Location Address
First Line	:	4959 N STATE ROAD 7
Second Line	:	SUITE F
City	:	TAMARAC
State	:	FL
Zip	:	33319-5871
Country	:	US
Telephone Number	:	954-739-3733
Fax Number	:	954-777-0076

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

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	07/08/2007

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