Ferdinand, Lareesa Monique

Ferdinand, Lareesa Monique is an individual health care provider with primary practice located at 1514 1St St N , Winter Haven FL 33881-2476. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ferdinand, Lareesa Monique can be contacted via phone (866) 234-8534.

Contact Information

Primary practice address
1514 1St St N Winter Haven FL 33881-2476
Phone: (866) 234-8534
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X TRN6918 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME99249 Florida

Profile Details

NPI number 1982767323
LBN Legal business name Ferdinand, Lareesa Monique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated May 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982767323 NPPES
Florida MEDICAID 117885600
Florida MEDICAID 278905100

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