Individual
MR. DAVID W FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
240 N WICKHAM RD STE 104, MELBOURNE, FL 32935-8663
(321) 541-1777
(321) 541-1786
Mailing address
240 N WICKHAM RD STE 104, MELBOURNE, FL 32935-8663
(321) 541-1777
(321) 541-1786
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3501
FL
Other
Enumeration date
10/31/2005
Last updated
10/03/2022
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