Ferderigos, Fanourios Iacovos

Ferderigos, Fanourios Iacovos is an individual health care provider with primary practice located at 2626 Tampa Rd Suite 103, Palm Harbor FL 34684-3155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Ferderigos, Fanourios Iacovos can be contacted via phone (727) 789-3300.

Contact Information

Primary practice address
2626 Tampa Rd Suite 103 Palm Harbor FL 34684-3155
Phone: (727) 789-3300
Fax: (727) 787-3454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME40703 Florida

Profile Details

NPI number 1235120122
LBN Legal business name Ferderigos, Fanourios Iacovos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jun 12th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235120122 NPPES
Florida Other 02051 WELLCARE PROVIDER NUMBER
Florida Other 15800Z WELLCARE PROVIDER NUMBER
Florida Other 220139000 WELLCARE PROVIDER NUMBER
Florida Other 207845 WELLCARE PROVIDER NUMBER
Florida Other 592745575001 WELLCARE PROVIDER NUMBER
Florida Other 1573201020 WELLCARE PROVIDER NUMBER
Florida Other 624281 WELLCARE PROVIDER NUMBER
Florida Other 10015687 WELLCARE PROVIDER NUMBER
Florida Other 4133544 WELLCARE PROVIDER NUMBER

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