Organization
ESSENTIAL HEALTH OF WESTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN FERGANG (OWNER)
(954) 389-5507
Entity
Organization
Contact information
Practice address
15830 W STATE ROAD 84, SUNRISE, FL 33326-1212
(954) 389-5507
Mailing address
15830 W STATE ROAD 84, SUNRISE, FL 33326-1212
(954) 389-5507
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0005597
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780740290
NPI
FL
Enumeration date
08/23/2016
Last updated
08/23/2016
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