Organization
FREDERICK FERGUSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK FERGUSON M.D. (PRESIDENT)
(305) 655-1025
Entity
Organization
Contact information
Practice address
100 NW 170TH ST, 301, NORTH MIAMI BEACH, FL 33169-5513
(305) 655-1025
(305) 652-9530
Mailing address
100 NW 170TH ST, 301, NORTH MIAMI BEACH, FL 33169-5513
(305) 655-1025
(305) 652-9530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME75338
FL
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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