Doctor Name: | FAITH FELDER |
NPI Number: | 1912955246 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 74147 |
Business Practice Address: | 829 W. Dr. Martin L. King, Jr Blvd Suite 100 Tampa, FL - 33603 |
Business Phone Number: | 8132315107 |
Business Fax Number: | 8132315125 |
Mailing Address: | Po Box 172266, TAMPA |
State: | FL |
Postal Code: | 336721228 |
Phone Number: | 8132315107 |
Fax Number: | 8132315125 |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 04/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 74147 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |