Organization
ISLAND MEDICAL SHOALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL R FERRARA DO (AUTHORIZED OFFICIAL)
(631) 514-7600
Entity
Organization
Contact information
Practice address
201 AVALON AVE, MUSCLE SHOALS, AL 35661-2805
(256) 386-1600
(904) 265-8181
Mailing address
PO BOX 74291, CLEVELAND, OH 44194-4291
(631) 514-7600
(631) 951-7123
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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