Individual
DENISE FERHAT FERADOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17 DAVIS BLVD, SUITE 308, TAMPA, FL 33606-3475
(813) 259-0661
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME145370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123116400
—
FL
01
—
OCIZI
BCBS
FL
Enumeration date
03/30/2017
Last updated
10/07/2024
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