Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | P01776 | FL |
Y | 222Z00000X | Podiatrist | P01776 | FL |
NPI | 1023066693 |
---|---|
Provider Name | Dr. David Feierman |
First Address | Boynton Beach, FL 33426 |
Second Address | Boynton Beach, FL 33426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 26/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
052036500 | (05) | FL |
151848EQ | PREFERRED CARE (01) | NY |
T55617 | (02) |