MEDICARE: GARY JOSEPH FELSBERG 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	2085N0700X	Neuroradiology Physician	ME65003	FL
2	2085R0202X	Diagnostic Radiology Physician	ME65003	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00044851	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	27427	OTHER	FL	BCBS OF FLORIDA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700883022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY JOSEPH FELSBERG M.D.

Provider Business Mailing Address
First Line	:	629A E HILLSBORO BLVD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-3517
Country	:	US
Telephone Number	:	954-698-9399
Fax Number	:	954-698-6963

Provider Business Practice Location Address
First Line	:	1030 SHADOWMOSS CIR
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-4440
Country	:	US
Telephone Number	:	407-716-5344
Fax Number	:	954-698-6963

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	10/06/2020

Similar Medicare Providers

1952378846 — DR. JOHN DEWITT BENSON MD
Practice Location Address:

4440 LAKE BOONE TRL
RALEIGH, NC
27607-7505

Practice Phone: 919-784-3100
Practice Fax: 919-784-3362

1477783082 — ANGELS OF INDEPENDENCE
Practice Location Address:

26992 LAKE JEFFERSON ROAD
CLEVELAND, MN
56017-4440

Practice Phone: 507-213-1486
Practice Fax: 507-550-4108

1457808297 — KATHERINE MELOT D.C.
Practice Location Address:

105 WESTHAVEN DR
WEST LAKE HILLS, TX
78746-4440

Practice Phone: 972-822-5990
Practice Fax:

1952960429 — BARBARA JONES
Practice Location Address:

55 LAKE AVE N # 4440
WORCESTER, MA
01655-0002

Practice Phone: 617-669-2483
Practice Fax:

1649932492 — SHATERIA JOHNSON
Practice Location Address:

850 LAKE CAROLYN PKWY APT 3146
IRVING, TX
75039-4440

Practice Phone: 469-864-9931
Practice Fax:

1497524789 — MAIRELIS GIZ
Practice Location Address:

5211 GINGER WAY
LAKE WORTH, FL
33463-4440

Practice Phone: 702-945-7684
Practice Fax:

Directions to “ GARY JOSEPH FELSBERG M.D.” 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.