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Individual

EDWARD R FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1405 CENTERVILLE RD STE 5000, TALLAHASSEE, FL 32308-4663
(850) 878-6164
(850) 656-5575
Mailing address
1405 CENTERVILLE RD STE 5000, TALLAHASSEE, FL 32308-4663
(850) 878-6164
(850) 656-5575

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
16741
AL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME139009
FL

Other

Enumeration date
04/27/2006
Last updated
07/18/2019
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