Provider Demographics
NPI:1689647273
Name:FEINMAN, LARRY J (DO)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:J
Last Name:FEINMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2401 W BAY DR
Mailing Address - Street 2:STE 602
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-4900
Mailing Address - Country:US
Mailing Address - Phone:727-501-1600
Mailing Address - Fax:727-501-1607
Practice Address - Street 1:2401 W BAY DR
Practice Address - Street 2:STE 602
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-4900
Practice Address - Country:US
Practice Address - Phone:727-501-1600
Practice Address - Fax:727-501-1607
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS5764208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL80246ZMedicare PIN
B41597Medicare UPIN