Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 482 | FL |
Y | 222Z00000X | Podiatrist | 482 | FL |
NPI | 1033201777 |
---|---|
Provider Name | Dr. Mark Hannah Feldman |
First Address | Miami, FL 33132 |
Second Address | Miami, FL 33132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T55404 | (02) |