Individual
FAITH FELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4144 N ARMENIA AVE STE 210, TAMPA, FL 33607-6447
(813) 872-8600
Mailing address
PO BOX 172266, TAMPA, FL 33672-1228
(813) 872-8600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME74147
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EO642Y
MEDICARE
FL
Enumeration date
05/05/2006
Last updated
12/03/2018
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