Individual
BUSHRA FERDOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
216 E EAU GALLIE BLVD, INDIAN HARBOUR BEACH, FL 32937-4874
(321) 361-5573
(321) 434-3682
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 361-5573
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS19704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QY507
MEDICARE HF
FL
Enumeration date
05/31/2020
Last updated
03/07/2024
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