Organization
O W S MEDICAL, LLC
Active
Other names
Mid Lake Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNA J. FERGUSON (OWNER)
(352) 432-8434
Entity
Organization
Contact information
Practice address
870 S DUNCAN DR, TAVARES, FL 32778-4044
(352) 432-8434
Mailing address
870 S DUNCAN DR, TAVARES, FL 32778-4044
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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