Provider Demographics
NPI:1497096747
Name:FEIT & GOLDBERG FOOT SPECIALISTS, PA
Entity Type:Organization
Organization Name:FEIT & GOLDBERG FOOT SPECIALISTS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
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 1:7620 MARGATE BLVD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-3352
Practice Address - Country:US
Practice Address - Phone:954-984-9700
Practice Address - Fax:954-984-0036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL45678Medicare PIN