Ferguson, Keith Andrew
Ferguson, Keith Andrew is an sole proprietor health care provider with primary practice located at 613 Oakfield Dr Tower Diagnostic Center, Brandon FL 33511-5714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ferguson, Keith Andrew can be contacted via phone (813) 661-2222.Contact Information
Primary practice address
613 Oakfield Dr Tower Diagnostic Center
Brandon FL 33511-5714
Phone: (813) 661-2222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME 89810 | Florida |
Profile Details
| NPI number | 1508880535 |
|---|---|
| LBN Legal business name | Ferguson, Keith Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jan 8th, 2024 - about 10 months 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 | 1508880535 | NPPES |
| Florida | MEDICAID | 270713600 |
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