Individual
MARK FELDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
530 21ST ST, VERO BEACH, FL 32960-5450
(772) 562-2020
(772) 562-5874
Mailing address
530 21ST ST, VERO BEACH, FL 32960-5450
(772) 562-2020
(772) 562-5874
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
DO0004253
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO0004253
ABO LICENSE
FL
Enumeration date
03/26/2022
Last updated
03/26/2022
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