Individual
MS. ROBIN W FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
655 W 8TH ST, UFJP OTOLARYNGOLOGY DEPT, JACKSONVILLE, FL 32209-6511
(904) 244-3956
(904) 244-7730
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY571
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000906045A
—
FL
05
—
6003052-00
—
FL
Enumeration date
03/31/2006
Last updated
02/22/2010
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