MEDICARE: JEFFREY S FEIN MD

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	207RG0100X	Gastroenterology Physician	22027	AZ
2	207RG0100X	Gastroenterology Physician	ME154065	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750338034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY S FEIN MD

Provider Business Mailing Address
First Line	:	410 CELEBRATION PL STE 106
Second Line	:
City	:	CELEBRATION
State	:	FL
Zip	:	34747-5432
Country	:	US
Telephone Number	:	407-303-4829
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 CELEBRATION PL STE 106
Second Line	:
City	:	CELEBRATION
State	:	FL
Zip	:	34747-5432
Country	:	US
Telephone Number	:	407-303-4829
Fax Number	:

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

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	04/14/2023

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Directions to “ JEFFREY S FEIN MD” Practice Location

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