Individual
GARY JOSEPH FELSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1030 SHADOWMOSS CIR, LAKE MARY, FL 32746-4440
(407) 716-5344
(954) 698-6963
Mailing address
629A E HILLSBORO BLVD, DEERFIELD BEACH, FL 33441-3517
(954) 698-9399
(954) 698-6963
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
ME65003
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME65003
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27427
BCBS OF FLORIDA
FL
05
—
377608500
—
FL
01
—
P00044851
RR MEDICARE
FL
Enumeration date
07/01/2005
Last updated
10/06/2020
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