Fred Feldman , LMT
Contractor • Jacksonville, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Fred Feldman has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Fred Feldman, LMT was a registered Contractor practicing in Jacksonville, FL. Throughout an active medical career spanning 12 years, Fred Feldman provided care at the practice location at 12080 LAKE FERN DR. until profile deactivation on 2018-05-25.
Practice Location & Contact Primary Location
12080 Lake Fern Dr.
Jacksonville, FL 32258
Specialty Benchmarks & Practice Insights
Comparative analytics for Contractor in Jacksonville, FL
Practicing in Jacksonville, FL (793 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171W00000X
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 25, 2018
NPI status registered as active in NPPES database
Registered at 12080 LAKE FERN DR., JACKSONVILLE, FL 32258 (Tel: 9048808000)
Registered at 12080 LAKE FERN DR., JACKSONVILLE, FL 32258 (Tel: 9048808000)
Recorded as FRED FELDMAN, LMT
Contractor (License #MA18248 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
12080 Lake Fern Dr.
Jacksonville, FL 32258
Phone: 9048808000
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