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Individual

DR. BREANNA J. FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
870 S DUNCAN DR, TAVARES, FL 32778-4044
(352) 432-8434
Mailing address
870 S DUNCAN DR, TAVARES, FL 32778-4044
(352) 432-8434

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4013
FL

Other

Enumeration date
05/06/2015
Last updated
06/11/2019
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