MEDICARE: ROBERT ZACHARY FERDMAN 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	207RX0202X	Medical Oncology Physician	ME157835	FL
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207R00000X	Internal Medicine Physician	ME157835	FL

General Provider Information

NPI Number	:	1871948125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ZACHARY FERDMAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 102222
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-2222
Country	:	US
Telephone Number	:	239-274-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	4689 US HIGHWAY 17 STE 2-5
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-4831
Country	:	US
Telephone Number	:	904-269-6526
Fax Number	:	904-269-6527

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

Provider Enumeration Date	:	04/24/2016
Last Update Date	:	02/19/2026

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