Provider Demographics
NPI:1740314616
Name:FELDMANN, ROBERT TODD (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:TODD
Last Name:FELDMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2407 SW 20TH TER
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7002
Mailing Address - Country:US
Mailing Address - Phone:352-598-0385
Mailing Address - Fax:
Practice Address - Street 1:400 SW 1ST AVE
Practice Address - Street 2:#2363
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34478-7800
Practice Address - Country:US
Practice Address - Phone:352-598-0385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82913207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL06817OtherBLUE CROSS BLUE SHIELD
FL06817OtherBLUE CROSS BLUE SHIELD
FL06817BMedicare ID - Type Unspecified