Provider Demographics
NPI:1194773077
Name:FEITER, ERIC WERNER (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:WERNER
Last Name:FEITER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 LAMBERTON BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-9124
Mailing Address - Country:US
Mailing Address - Phone:407-382-2425
Mailing Address - Fax:407-382-5286
Practice Address - Street 1:3020 LAMBERTON BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-9124
Practice Address - Country:US
Practice Address - Phone:407-382-2425
Practice Address - Fax:407-382-5286
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8791111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor