Provider Demographics
NPI:1306473996
Name:ST. FELOPATEER MEDICAL CONSULTING LLC
Entity type:Organization
Organization Name:ST. FELOPATEER MEDICAL CONSULTING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ISAAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-741-8355
Mailing Address - Street 1:31201 US HIGHWAY 19 N
Mailing Address - Street 2:ST 3
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-4422
Mailing Address - Country:US
Mailing Address - Phone:727-741-8355
Mailing Address - Fax:339-230-0927
Practice Address - Street 1:31201 US HIGHWAY 19 N
Practice Address - Street 2:ST 3
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-4422
Practice Address - Country:US
Practice Address - Phone:727-741-8355
Practice Address - Fax:339-230-0927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-24
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty