Individual
SARAH JEAN FERRER-BRUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
316 PASEO REYES DR, ST AUGUSTINE, FL 32095-8464
(904) 544-5800
Mailing address
906 PARK AVE, ORANGE PARK, FL 32073-4120
(904) 541-0315
(904) 541-0316
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS11363
FL
207R00000X
Internal Medicine Physician
U02251
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150LW
BCBS
FL
01
—
K9927
GRP MCR NUMBER
FL
Enumeration date
11/19/2009
Last updated
01/06/2021
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