Female

Dr. Phyllis S. Feldman M.D.

Child & Adolescent Psychiatry Physician in Tampa, FL(View on Map)

Full Name

Dr. Phyllis Sirotta Feldman M.D.

NPI Number

1528148822

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/17/2006

Specialties

(Taxonomies)

Code

2084P0804X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME 40522

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 917770
4202 E FOWLER AVE

City

Orlando
Tampa

State

FL
FL

Postal Code

32891-0001
33620-6750

Country

US
US

Telephone Number

(813) 974-2201
(813) 974-2331

Identifiers

Identifier

250825700
30692

Identifier State

FL
FL

Identifier Issuer

Unknown
BLUE CROSS BLUE SHIELD

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

pfeldman31014@direct.tgh.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

4202 E Fowler AveSHS 100Tampa, FL336206750US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/29/2020

Provider Address

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