MEDICARE: ANTHONY FELT

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	183500000X	Pharmacist	46614	FL

General Provider Information

NPI Number	:	1891391819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY FELT

Provider Business Mailing Address
First Line	:	21140 SAINT ANDREWS BLVD
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-2404
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21140 SAINT ANDREWS BLVD
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-2404
Country	:	US
Telephone Number	:	561-391-9613
Fax Number	:

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

Provider Enumeration Date	:	12/06/2020
Last Update Date	:	12/06/2020

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