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Individual
MRS. LAURALEE C FERRIELL
Active
Individual
MRS. LAURALEE C FERRIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112349
FL
363AM0700X
Medical Physician Assistant
PA5005
MA
363AS0400X
Surgical Physician Assistant
TA1728
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122114300
—
FL
Enumeration date
09/08/2011
Last updated
05/29/2024
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