Individual
SOPHIA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17892 KEY LIME BLVD, LOXAHATCHEE, FL 33470-2901
(754) 301-1816
Mailing address
17892 KEY LIME BLVD, LOXAHATCHEE, FL 33470-2901
(754) 301-1816
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5269104
FL
Other
Enumeration date
06/27/2026
Last updated
06/27/2026
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