Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 200600108 | NC |
N | 2080P0210X | Pediatric Nephrologist | 2006-00108 | NC |
Y | 2080P0210X | Pediatric Nephrologist | ME79443 | FL |
NPI | 1982624086 |
---|---|
Provider Name | Dr. Leonard G Feld |
First Address | Miami, FL 33155-3009 |
Second Address | Miami, FL 33155-3009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 16/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1411X | NCBCBS (01) | NC |
5903356 | (05) | NC |
E15464 | (02) | NC |
N08006 | (05) | SC |