MEDICARE: DR. DEBRA FERGUSON HEMSATH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	ME50366	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	160055423	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
2	08609	OTHER	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	4276739	OTHER	AETNA
5	15991	OTHER	HUMANA

General Provider Information

NPI Number	:	1770579120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBRA FERGUSON HEMSATH M.D.

Provider Business Mailing Address
First Line	:	10011 SEMINOLE BLVD STE A
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33772-2539
Country	:	US
Telephone Number	:	727-393-2800
Fax Number	:	727-456-1588

Provider Business Practice Location Address
First Line	:	10011 SEMINOLE BLVD
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33772-2539
Country	:	US
Telephone Number	:	727-393-2800
Fax Number	:	727-456-1588

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	07/31/2018

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Directions to “ DR. DEBRA FERGUSON HEMSATH M.D.” Practice Location

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