Individual provider Active NPI

Lareesa Monique Ferdinand, M.D.

  • Obstetrics & Gynecology Physician
  • Winter Haven, FL
National Provider Identifier
1982767323
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME99249 Issued in FL
Practice address
1514 1St St N
Winter Haven, FL 33881-2476
Phone
(866) 234-8534
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X TRN6918 FL
Obstetrics & Gynecology Physician 207V00000X ME99249 FL Primary

Addresses

Primary practice location

1514 1St St N
Winter Haven, FL 33881-2476

Mailing address

47 5TH St NW
Winter Haven, FL 33881-4672
Phone (866) 234-8534

Other practice location 1

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 975-0406

Other identifiers 2

IdentifierTypeStateIssuer
117885600MedicaidFL
278905100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070918000468 FL Practitioner - Obstetrics/Gynecology 7113011453 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME99249FLMDObstetrics & Gynecology Physician
TRN6918FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince May 10, 2021 Accepting new patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince May 10, 2021 Accepting new patients
DHP of Manatee PA Obstetrics & Gynecology CurrentSince Aug 20, 2020 Accepting new patients
Central Florida Health Care, Inc CurrentSince May 20, 2024 Accepting new patients
Florida Hospital Physician Group Inc Obstetrics & Gynecology CurrentSince May 10, 2021 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Central Florida Health Care, Inc. Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Oct 29, 2019 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Oct 29, 2019 Accepting new patients
Central Florida Health Care, Inc CurrentSince May 20, 2024 Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care Inc Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients

Locations (25 of 27)

950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000

2221 North Blvd W
Davenport, FL 33837
Phone (863) 421-7600

130 Ridge Center Dr
Davenport, FL 33837
Phone (866) 234-8535

916 Dundee Rd
Dundee, FL 33838
Phone (863) 419-3330

109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891

705 Ingraham Ave
Haines City, FL 33844
Phone (863) 291-3314

305 W Central Ave
Lake Wales, FL 33853
Phone (863) 678-4144

305 W Central Ave
Fl Heal
Lake Wales, FL 33853

903 Lowry Ave
Lakeland, FL 33801

601 S Florida Ave
Ste 6
Lakeland, FL 33801
Phone (863) 688-0841

1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

106 NW 9th Ave
Mulberry, FL 33860
Phone (863) 425-6200

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

807 Cobb Ct
Wauchula, FL 33873

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

201 Magnolia Ave SW
Winter Haven, FL 33880
Phone (863) 229-7950

47 5th St NW
Winter Haven, FL 33881

1514 1st St N
Winter Haven, FL 33881
Phone (863) 291-5110

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lareesa.ferdinand.1@12125.direct.athenahealth.com

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1982767323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 5TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814672",
            "telephone_number": "866-234-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 1ST ST N",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812476",
            "telephone_number": "866-234-8534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Rollins St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031248",
            "country_code": "US",
            "telephone_number": "407-975-0406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERDINAND",
        "first_name": "LAREESA",
        "middle_name": "MONIQUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "TRN6918",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME99249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117885600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278905100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.