Micheline Renee Ferguson

Individual provider Active NPI Case Manager/Care Coordinator · Wimauma, FL

NPI 1962032672 · NPPES record last updated Jan 22, 2020

Key facts

NPI
1962032672
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
10008 Carloway Hills Dr.
Wimauma, FL 33598
Phone
(813) 605-5555
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X FL Yes

Addresses

Primary practice location

10008 Carloway Hills Dr.
Wimauma, FL 33598

Mailing address

10008 Carloway Hills Dr.
Wimauma, FL 33598
Phone (813) 605-5555

Other providers in Wimauma, FL

All providers in Wimauma, FL · Case Manager/Care Coordinator in Florida

Sources for this page

Verify at the official NPI Registry.