Individual
DR. FEARGAL JOHN PAUL GERAGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1401
Mailing address
PO BOX 604350, CHARLOTTE, NC 28260-4350
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2024-02041
NC
2086S0102X
Surgical Critical Care Physician
Primary
ME161967
FL
2086S0127X
Trauma Surgery Physician
2024-02041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121373600
—
FL
01
—
VF689
MEDICARE HFMG
FL
01
—
VF694
MEDICARE HFPS
FL
Enumeration date
04/27/2018
Last updated
11/05/2025
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