Individual
DANIEL RICHARD FELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 W SEMINOLE BLVD, SANFORD, FL 32771-6743
(407) 321-4500
Mailing address
1401 W SEMINOLE BLVD, SANFORD, FL 32771-6743
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301103396
MI
2086S0102X
Surgical Critical Care Physician
Primary
MD141370
FL
390200000X
Student in an Organized Health Care Education/Training Program
4301103396
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/11/2013
Last updated
06/18/2019
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