Provider Demographics
NPI:1437250503
Name:FELDMAN, BARRY (RPH)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 S FEDERAL HWY
Mailing Address - Street 2:APT. 323
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-4937
Mailing Address - Country:US
Mailing Address - Phone:561-302-3733
Mailing Address - Fax:
Practice Address - Street 1:14595 MILITARY TRL
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-3730
Practice Address - Country:US
Practice Address - Phone:561-637-2363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH0021315183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0556050457Medicare ID - Type Unspecified