Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 0038160 | FL |
NPI | 1043326200 |
---|---|
Provider Name | Martin Feinroth |
First Address | Hollywood, FL 33021-5424 |
Second Address | Hollywood, FL 33021-5424 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 28/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
93891 | BCBS (01) | |
D82622 | (02) |