MEDICARE: LF MD PA DBA LAWRENCE FELDMAN MD ASSOC

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	208D00000X	General Practice Physician	ME0047975	FL

General Provider Information

NPI Number	:	1821217811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LF MD PA DBA LAWRENCE FELDMAN MD ASSOC

Provider Business Mailing Address
First Line	:	777 17TH ST STE 400
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-1854
Country	:	US
Telephone Number	:	305-673-3555
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 17TH ST STE 400
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-1854
Country	:	US
Telephone Number	:	305-673-3555
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	LAWRENCE E FELDMAN
Credential	:	M.D
Telephone Number	:	305-673-3555

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	10/31/2007

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