Individual
DENEIL FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 LIZSHIRE LN, APT 306, ORLANDO, FL 32822-2242
(631) 704-8580
Mailing address
4301 LIZSHIRE LN, APT 306, ORLANDO, FL 32822-2242
(631) 704-8580
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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