MEDICARE: PAUL M FEUER 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	207W00000X	Ophthalmology Physician	ME20287	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	650039111	OTHER	FL	TAX-ID

General Provider Information

NPI Number	:	1972576924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL M FEUER MD

Provider Business Mailing Address
First Line	:	2575 S STATE ROAD 7
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-9323
Country	:	US
Telephone Number	:	561-737-5500
Fax Number	:	561-737-7055

Provider Business Practice Location Address
First Line	:	2575 S STATE ROAD 7
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-9323
Country	:	US
Telephone Number	:	561-737-5500
Fax Number	:	561-737-7055

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

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	03/07/2023

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