Felsberg, Gary Joseph
Felsberg, Gary Joseph is an individual health care provider with primary practice located at 1030 Shadowmoss Cir , Lake Mary FL 32746-4440. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Felsberg, Gary Joseph can be contacted via phone (407) 716-5344.Contact Information
Primary practice address
1030 Shadowmoss Cir
Lake Mary FL 32746-4440
Phone: (407) 716-5344
Fax: (954) 698-6963
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ME65003 | Florida |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME65003 | Florida |
Profile Details
NPI number | 1700883022 |
---|---|
LBN Legal business name | Felsberg, Gary Joseph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 1st, 2005 |
Last updated | Oct 6th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700883022 | NPPES |
Florida | Other | P00044851 | RR MEDICARE |
Florida | MEDICAID | 377608500 | RR MEDICARE |
Florida | Other | 27427 | RR MEDICARE |
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