Provider Demographics
NPI:1972576924
Name:FEUER, PAUL M (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:M
Last Name:FEUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name Type:
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Mailing Address - Street 1:2575 S STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-9323
Mailing Address - Country:US
Mailing Address - Phone:561-737-5500
Mailing Address - Fax:561-737-7055
Practice Address - Street 1:2575 S STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-9323
Practice Address - Country:US
Practice Address - Phone:561-737-5500
Practice Address - Fax:561-737-7055
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME20287207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650039111OtherTAX-ID
FLAF9109287OtherDEA
FLD55897Medicare UPIN