Breanna J. Ferguson (NPI# 1114304425, PAC ID# 4688923667) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1114304425 |
| PAC ID by PECOS | 4688923667 |
| Professional Enrollment ID | I20180824000118 |
| Full Name | Breanna J. Ferguson |
| Address |
870 S Duncan Dr Tavares FL 32778-4044 |
| Gender | F |
| Medical School | BARRY UNIVERSITY SCHOOL PODIATRIC MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100051 | SOUTH LAKE HOSPITAL |
| 100057 | FLORIDA HOSPITAL WATERMAN |
| Address | Phone | Organization |
|---|---|---|
| 870 S Duncan Dr, Tavares, FL 32778-4044 |
| Street Address |
870 S DUNCAN DR |
| City | TAVARES |
| State | FL |
| Zip | 32778-4044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth E Stark | Rheumatology | 1613 Banning Beach Rd, Tavares, FL 32778-2024 | |
| Maxine A Ruddock | Psychologist, Clinical | 322 N Barrow Ave, Tavares, FL 32778-3002 | |
| Karen K Estill | Psychologist, Clinical | 101 E Maud St, Tavares, FL 32778-3249 | |
| Deborah W Ho | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Brian L Boyd | Psychologist, Clinical | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Marvin L Smith | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Juliet Smith | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Amberlee K Henson | Clinical Psychologist | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| David L Frerking | Chiropractic | 915 E Alfred St, Tavares, FL 32778-3401 | |
| Ebony Monique Rollins | Nurse Practitioner | Community Health Centers, Inc | 212 E Main St, Tavares, FL 32778-3808 |
| Find all physicians in zip 32778 | |||
| City | TAVARES |
| Zip Code | 32778 |
| Specialty | PODIATRY |
| City + Specialty | TAVARES + PODIATRY |
Please comment or provide details below to improve the information on Breanna J. Ferguson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.