Individual
DR. MARK SAMUEL FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 S. PINE ISLAND RD., STE. A100, PLANTATION, FL 33324
(954) 741-5555
(954) 741-6298
Mailing address
P.O. BOX 39209, FT. LAUDERDALE, FL 33339
(954) 851-9966
(954) 318-7360
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0009731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043728000
—
FL
01
—
180042798
RAIL ROAD MEDICARE
FL
01
—
202305
COMPBENEFITS CORPORATION
FL
01
—
2511309
AETNA
FL
01
—
44056
BLUE CROSS BLUE SHEILD
FL
01
—
650560968
UNITED
FL
Enumeration date
08/12/2005
Last updated
06/02/2011
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