Basic Information
Provider Information
NPI: 1508359555
EntityType: 2
ReplacementNPI:  
OrganizationName: STEVEN FELDMAN MD PA
LastName:  
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Mailing Information
Address1: 7351 W OAKLAND PARK BLVD
Address2: STE 104
City: LAUDERHILL
State: FL
PostalCode: 33319
CountryCode: US
TelephoneNumber: 9547415800
FaxNumber:  
Practice Location
Address1: 7351 W OAKLAND PARK BLVD
Address2: STE 104
City: LAUDERHILL
State: FL
PostalCode: 33319
CountryCode: US
TelephoneNumber: 9547415800
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/13/2018
LastUpdateDate: 06/13/2018
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: FELDMAN
AuthorizedOfficialFirstName: STEVEN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 9547415800
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RR0500XME0035390FLY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology

No ID Information.


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