Individual
IVAN FOSTER ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
402 NOLAND DR, BRANDON, FL 33511-5709
(813) 655-9000
(813) 655-7344
Mailing address
402 NOLAND DR, BRANDON, FL 33511-5709
(813) 655-9000
(813) 655-7344
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME48711
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047044900
—
FL
Enumeration date
03/28/2006
Last updated
12/15/2009
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