Provider Demographics
NPI:1669774881
Name:FEINSTEIN, MARK (DO)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:
Last Name:FEINSTEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:MARK
Other - Middle Name:
Other - Last Name:FEINSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DOPA
Mailing Address - Street 1:5329 W ATLANTIC AVE
Mailing Address - Street 2:STE 203B
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8142
Mailing Address - Country:US
Mailing Address - Phone:561-396-9125
Mailing Address - Fax:
Practice Address - Street 1:5329 W ATLANTIC AVE
Practice Address - Street 2:#203B
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8176
Practice Address - Country:US
Practice Address - Phone:954-558-1045
Practice Address - Fax:561-865-4908
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-19
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS3348207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine