Feanny, Michael

Feanny, Michael is an individual health care provider with primary practice located at 4850 W Oakland Park Blvd Suite 201, Lauderdale Lakes FL 33313-7260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Feanny, Michael can be contacted via phone (954) 735-3535.

Contact Information

Primary practice address
4850 W Oakland Park Blvd Suite 201 Lauderdale Lakes FL 33313-7260
Phone: (954) 735-3535
Fax: (954) 484-7000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME46904 Florida

Profile Details

NPI number 1922047588
LBN Legal business name Feanny, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922047588 NPPES
Florida MEDICAID 370800400

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