Frederick Ferguson Md Pa

NPI 1710161815 - Family Medicine - 207Q00000X

NPI Details
NPI 1710161815
Enumeration Date 12/26/2007
Last Updated 12/26/2007
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name FREDERICK FREDERICK
Position PRESIDENT
Phone (305) 655-1025
Fax (305) 652-9530
Practice Location
100 NW 170TH ST
301
NORTH MIAMI BEACH FL, 33169-5513, US
Phone (305) 655-1025
Fax (305) 652-9530
Business Location
100 NW 170TH ST
301
NORTH MIAMI BEACH FL, 33169-5513, US
Phone (305) 655-1025
Fax (305) 652-9530
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME75338
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According to our database, Frederick Ferguson Md Pa NPI is 1710161815, taxonomy code is 207Q00000X and license number is ME75338, license state is located at Florida. Frederick Ferguson Md Pa physically located at 100 Nw 170th St, North Miami Beach FL, 33169-5513. NPI Number 1033115704 has the healthcare provider type.

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1710161815 NPI number is provided on an as is basis without warranty of any kind. 1710161815 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick Ferguson Md Pa are for informational purposes only.