Organization
4TH STREET MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY STEPHEN FELDMAN MD (PRESIDENT)
(248) 252-6740
Entity
Organization
Contact information
Practice address
975 ARTHUR GODFREY RD STE 101, MIAMI BEACH, FL 33140-3340
(305) 404-8288
Mailing address
975 ARTHUR GODFREY RD STE 101, MIAMI BEACH, FL 33140-3340
(305) 404-8288
(305) 676-9242
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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