Provider Demographics
NPI:1861634974
Name:MANUEL V FEIJOO MD PA
Entity Type:Organization
Organization Name:MANUEL V FEIJOO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:VALENTIN
Authorized Official - Last Name:FEIJOO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-265-7505
Mailing Address - Street 1:8370 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4180
Mailing Address - Country:US
Mailing Address - Phone:305-265-7505
Mailing Address - Fax:305-265-7535
Practice Address - Street 1:8370 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4180
Practice Address - Country:US
Practice Address - Phone:305-265-7505
Practice Address - Fax:305-265-7535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-03
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME63009207X00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty