Provider Demographics
NPI:1821327628
Name:FEINERMAN ANESTHESIA PA
Entity Type:Organization
Organization Name:FEINERMAN ANESTHESIA PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:FEINERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:866-646-2478
Mailing Address - Street 1:PO BOX 864619
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32886-4619
Mailing Address - Country:US
Mailing Address - Phone:866-646-2478
Mailing Address - Fax:913-341-5797
Practice Address - Street 1:983 S BENEVA RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-2401
Practice Address - Country:US
Practice Address - Phone:866-646-2478
Practice Address - Fax:913-341-5797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000KGOtherBCBS
FLCX001AMedicare PIN