MEDICARE: ROBERT TODD FELDMANN 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	207L00000X	Anesthesiology Physician	ME82913	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	06817	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1740314616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT TODD FELDMANN M.D.

Provider Business Mailing Address
First Line	:	2407 SW 20TH TER
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34474-7002
Country	:	US
Telephone Number	:	352-598-0385
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 SW 1ST AVE
Second Line	:	#2363
City	:	OCALA
State	:	FL
Zip	:	34478-7800
Country	:	US
Telephone Number	:	352-598-0385
Fax Number	:

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

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	07/08/2007

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