Individual
LAREESA MONIQUE FERDINAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1514 1ST ST N, WINTER HAVEN, FL 33881-2476
(866) 234-8534
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(866) 234-8534
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME99249
FL
207V00000X
Obstetrics & Gynecology Physician
TRN6918
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117885600
—
FL
05
—
278905100
—
FL
Enumeration date
12/18/2006
Last updated
05/21/2024
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