Provider Demographics
NPI:1285707992
Name:SCHORR & FEDER DPM PA
Entity type:Organization
Organization Name:SCHORR & FEDER DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V. PRES.
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:FEDER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:561-734-3100
Mailing Address - Street 1:715 W BOYNTON BEACH BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-3625
Mailing Address - Country:US
Mailing Address - Phone:561-734-3100
Mailing Address - Fax:561-734-7925
Practice Address - Street 1:715 W BOYNTON BEACH BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3625
Practice Address - Country:US
Practice Address - Phone:561-734-3100
Practice Address - Fax:561-734-7925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 0002353213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL24362OtherGROUP MEDICARE NUMBER
FL0889540001Medicare NSC
FL24362OtherGROUP MEDICARE NUMBER
FLU34771Medicare UPIN