Individual
DR. MACIEJ FERENC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600 S ANDREWS AVE, EMERGENCY DEPARTMENT, FT LAUDERDALE, FL 33316-2510
(919) 425-1565
(919) 425-0478
Mailing address
3114 CROASDAILE DR, SUITE 200, DURHAM, NC 27705-2508
(919) 425-1565
(919) 425-0478
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS8400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17459
MEDICARE CORE
FL
05
—
264509200
—
FL
Enumeration date
06/23/2005
Last updated
11/05/2009
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