Individual
DR. KERON ALICIA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2400 MAITLAND CENTER PKWY STE 310, MAITLAND, FL 32751-7442
(407) 426-4800
(407) 426-4820
Mailing address
222 BROADWAY SUITE 301, ATTN: CREDENTIALING, KISSIMMEE, FL 34741
(407) 846-8180
(800) 517-6794
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME94429
FL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
ME94429
FL
208D00000X
General Practice Physician
ME94429
FL
Other
Enumeration date
11/08/2006
Last updated
04/02/2025
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