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Individual

DR. GERALDINE MACKOUL FERRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2280 SHEPARD ST APT 505, JACKSONVILLE, FL 32211-3284
(407) 497-0298
Mailing address
2280 SHEPARD ST APT 505, JACKSONVILLE, FL 32211-3284
(407) 497-0298

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN8385
FL

Other

Enumeration date
03/29/2018
Last updated
03/29/2018
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