Individual
DR. EDWARD J FELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8353 SW 124TH ST, STE 203, MIAMI, FL 33156-5851
(305) 259-8720
(305) 259-8725
Mailing address
8353 SW 124TH ST, STE 203, MIAMI, FL 33156-5851
(305) 259-8720
(305) 259-8725
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME19441
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052519700
—
FL
01
—
91479
BCBS
FL
Enumeration date
03/13/2007
Last updated
02/26/2010
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