Individual
DOMINIQUE MARIE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-2111
(904) 542-7300
Mailing address
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-5000
(904) 542-7300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1336731884
VA
Other
Enumeration date
02/05/2021
Last updated
07/14/2025
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