Organization
BLUE WATER SURGICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY R FERBER MD (PHYSICIAN / OWNER)
(352) 634-4038
Entity
Organization
Contact information
Practice address
7062 S ALOYSIA AVE, FLORAL CITY, FL 34436-2844
(352) 634-4038
Mailing address
7062 S ALOYSIA AVE, FLORAL CITY, FL 34436-2844
(352) 634-4038
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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