MEDICARE: FEINSTEIN MEDICAL LLC

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	207ND0101X	MOHS-Micrographic Surgery Physician	OS9067	FL
2	207ND0900X	Dermatopathology Physician	OS9067	FL
3	207NI0002X	Clinical & Laboratory Dermatological Immunology Physician	OS9067	FL
4	207NP0225X	Pediatric Dermatology Physician	OS9067	FL
5	207NS0135X	Procedural Dermatology Physician	OS9067	FL
6	207N00000X	Dermatology Physician	OS9067	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	28528	OTHER	FL	BLUE CROSS BLUE SHIELD
2	6375863	OTHER	FL	CIGNA
3	317129	OTHER	FL	AVMED

General Provider Information

NPI Number	:	1548416068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FEINSTEIN MEDICAL LLC

Provider Business Mailing Address
First Line	:	6140 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8409
Country	:	US
Telephone Number	:	561-498-4407
Fax Number	:	561-498-4480

Provider Business Practice Location Address
First Line	:	6140 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484
Country	:	US
Telephone Number	:	561-498-4407
Fax Number	:	561-498-4480

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRIAN FEINSTEIN
Credential	:	D.O.
Telephone Number	:	561-498-4407

Provider Enumeration Date	:	08/15/2008
Last Update Date	:	06/25/2018

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Directions to “FEINSTEIN MEDICAL LLC ” Practice Location

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