Provider Demographics
NPI:1164625349
Name:FEIT & GOLDBERG FOOT SPECIALISTS, P.A.
Entity Type:Organization
Organization Name:FEIT & GOLDBERG FOOT SPECIALISTS, P.A.
Other - Org Name:ASSOCIATED FOOT AND ANKLE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLIARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-482-3338
Mailing Address - Street 1:21679 STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1812
Mailing Address - Country:US
Mailing Address - Phone:561-482-3338
Mailing Address - Fax:561-482-8024
Practice Address - Street 1:21679 STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1812
Practice Address - Country:US
Practice Address - Phone:561-482-3338
Practice Address - Fax:561-482-8024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL45678Medicare PIN
FL0960350001Medicare NSC