Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTENEH M FEYISSA, MD
ActiveANTENEH M FEYISSA, MD is a 2084E0001X healthcare provider located in JACKSONVILLE, Florida. NPI 1245542547 is currently active in the NPPES registry. Verify at CMS.
2084E0001X · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1245542547
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2010 (16.141938064052 yrs)
- Last Updated
- Jul 31, 2024
- Licenses
-
ME 128928 (FL)ME128928 (FL)
Practice Information
- Address
-
4500 SAN PABLO RD SJACKSONVILLE, FL, 322241865Browse FL providers · Browse ZIP 32224
- Phone
- 9049532000
- Primary Specialty
-
2084E0001X
2084E0001X
- Additional Specialty
- 2084E0001X
Other 2084E0001X Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| WILLIAM O TATUM | DO | 1396764122 |
| BRIN E FREUND | M.D. | 1093151813 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.