Individual
DR. THEODORE S. FELGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
836 PRUDENTIAL DR, SUITE 1001, JACKSONVILLE, FL 32207-8334
(904) 398-0033
(904) 398-6774
Mailing address
11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME42116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020039799
RAILROAD MEDICARE
FL
01
—
1486114
CIGNA
—
01
—
157617581B
GA MEDICAID
GA
01
—
15781
BCBS FL
—
01
—
207419
AVMED
—
05
—
274940800
—
FL
01
—
4608544
AETNA
—
Enumeration date
04/28/2006
Last updated
07/28/2015
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