MEDICARE: KATJA FELSINGER 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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	20602	WV
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	ME146586	FL

General Provider Information

NPI Number	:	1609839505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATJA FELSINGER M.D.

Provider Business Mailing Address
First Line	:	1344 S APOLLO BLVD
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-3183
Country	:	US
Telephone Number	:	321-727-2990
Fax Number	:	304-324-2774

Provider Business Practice Location Address
First Line	:	1344 S APOLLO BLVD STE 2A
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-3183
Country	:	US
Telephone Number	:	321-727-2990
Fax Number	:

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

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	12/10/2021

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