Provider Demographics
NPI:1730166703
Name:FELDMAN, RHONDA G (PA-C)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:G
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8391 N. DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514
Mailing Address - Country:US
Mailing Address - Phone:850-494-4994
Mailing Address - Fax:850-494-3960
Practice Address - Street 1:5 BUCKMAN ROAD SUIT 1D
Practice Address - Street 2:MMP ORTHOPEDICS AND JOINT SPECIALIST
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04104
Practice Address - Country:US
Practice Address - Phone:207-781-1551
Practice Address - Fax:207-781-1552
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPA462363A00000X
FLPA9104048363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL292648200Medicaid
S70973Medicare UPIN
FLAA722ZMedicare PIN