# FERGUSON LIFE HEALTH CENTERS OF FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487156634
- **Authorized official:** SAMANTHA ORTIZ (OFFICE MANAGER)
- **Authorized official phone:** (201) 716-9199

## Contact information

- **Practice address:** 932 ALLAMANDA DR, DELRAY BEACH, FL 33483-4914
- **Practice address phone:** (973) 210-3838
- **Mailing address:** PO BOX 269, CEDAR KNOLLS, NJ 07927-0269
- **Mailing address phone:** (973) 210-3838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 03/05/2018
- **Last updated:** 06/27/2023