Active NPI
O W S Medical LLC
- Podiatrist
- Tavares, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- O W S MEDICAL LLC
- Practice address
- 870 S Duncan Dr
Tavares, FL 32778-4044 - Phone
- (352) 432-8434
- NPI assigned
- Mar 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Breanna Jean Ferguson, DPM
- Title
- Owner
- Phone
- (352) 432-8434
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
870 S Duncan Dr
Tavares, FL 32778-4044
Mailing address
870 S Duncan Dr
Tavares, FL 32778-4044
Phone (352) 432-8434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190522000065 | FL | Part B Supplier - Clinic/Group Practice | 6103169834 |
Receives reassigned benefits from 1 practitioner Practice locations: Tavares, FL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Mid Lake Foot and Ankle
- Foot & Ankle Surgery Podiatrist
- Tavares, FL
- NPI 1578182895
6103169834
National Provider Directory
National Provider Directory- Tax ID family
- O W S Medical LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Mid Lake Foot and Ankle
- Foot & Ankle Surgery Podiatrist
- Tavares, FL
- NPI 1578182895
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Tavares, FL
- NPI 1114304425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763596800000",
"number": "1669931770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 S DUNCAN DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784044",
"telephone_number": "352-432-8434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 S DUNCAN DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784044",
"telephone_number": "352-432-8434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "O W S MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-18",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A",
"authorized_official_last_name": "FERGUSON",
"authorized_official_first_name": "BREANNA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-432-8434",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.