Ferguson, David L
Ferguson, David L is an individual health care provider with primary practice located at 325 Avenue B Nw , Winter Haven FL 33881-4651. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ferguson, David L can be contacted via phone (863) 291-4000.Contact Information
Primary practice address
325 Avenue B Nw
Winter Haven FL 33881-4651
Phone: (863) 291-4000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 1215282 | Florida |
Profile Details
NPI number | 1699712372 |
---|---|
LBN Legal business name | Ferguson, David L |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2006 |
Last updated | May 21st, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699712372 | NPPES |
Florida | Other | 430072456 | RAILROAD MEDICARE |
Florida | MEDICAID | 304514500 | RAILROAD MEDICARE |
Florida | Other | G0193 | RAILROAD MEDICARE |
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