Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | ME80682 | FL |
N | 207RA0401X | Internist - Addiction Medicine | 80682 | FL |
NPI | 1568435857 |
---|---|
Provider Name | Steven Jeffrey Feinerman |
First Address | Orlando, FL 32886-4619 |
Second Address | Lakeland, FL 33805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 21/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
262594600 | (05) | FL |
H32991 | (02) |