Individual
DR. ADAM S. FENICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1285 ORANGE AVE, WINTER PARK, FL 32789-4949
(407) 647-2287
(407) 643-2801
Mailing address
1285 ORANGE AVE, WINTER PARK, FL 32789-4949
(407) 647-2287
(407) 643-2801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME0064153
FL
207XS0106X
Orthopaedic Hand Surgery Physician
ME0064153
FL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME64153
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200019558
RAILROAD
FL
01
—
23425
BC/BS
FL
05
—
373657100
—
FL
Enumeration date
07/14/2005
Last updated
11/04/2020
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