Individual
YELIZAVETA FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
DN17129
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN17129
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N/A
—
FL
Enumeration date
05/11/2009
Last updated
11/10/2016
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