Male or Other

Mr. David W. Ferguson P.A.

Medical Physician Assistant in Melbourne, FL(View on Map)

Full Name

Mr. David W Ferguson P.A.

NPI Number

1740271717

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/31/2005

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA3501

Contact
Information

Purpose

Mailing
Location

Address

240 N WICKHAM RD STE 104
240 N WICKHAM RD STE 104

City

Melbourne
Melbourne

State

FL
FL

Postal Code

32935-8663
32935-8663

Country

US
US

Telephone Number

(321) 541-1777
(321) 541-1777

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/03/2022

Provider Address

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