Organization
ICE PULMONARY NETWORK LLC
Active
Organization
ICE PULMONARY NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVO FERRER MD (PRESIDENT)
(954) 482-4747
Entity
Organization
Contact information
Practice address
17180 ROYAL PALM BLVD, STE 3, WESTON, FL 33326-2394
(954) 482-4747
(954) 301-5939
Mailing address
17180 ROYAL PALM BLVD SUITE, STE 3, WESTON, FL 33326
(954) 482-4747
(954) 301-5939
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME104425
FL
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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