Provider Demographics
NPI:1639392970
Name:NEIL TURK FELDMAN MD PA
Entity Type:Organization
Organization Name:NEIL TURK FELDMAN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:TURK
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-360-0853
Mailing Address - Street 1:2525 PASADENA AVE S
Mailing Address - Street 2:SUITE S
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:FL
Mailing Address - Zip Code:33707-4566
Mailing Address - Country:US
Mailing Address - Phone:727-360-0853
Mailing Address - Fax:727-367-3735
Practice Address - Street 1:2525 PASADENA AVE S
Practice Address - Street 2:SUITE S
Practice Address - City:SOUTH PASADENA
Practice Address - State:FL
Practice Address - Zip Code:33707-4566
Practice Address - Country:US
Practice Address - Phone:727-360-0853
Practice Address - Fax:727-367-3735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0032064261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL03691600Medicaid
FL79248ZMedicare ID - Type UnspecifiedMEDICARE
FLD58713Medicare UPIN