MEDICARE: CINDY FERGUSON APRN

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	363LF0000X	Family Nurse Practitioner	APRN11032203	FL

General Provider Information

NPI Number	:	1891548921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY FERGUSON APRN

Provider Business Mailing Address
First Line	:	2624 FAWNLAKE TRL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-7842
Country	:	US
Telephone Number	:	937-672-5927
Fax Number	:

Provider Business Practice Location Address
First Line	:	2624 FAWNLAKE TRL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-7842
Country	:	US
Telephone Number	:	937-672-5927
Fax Number	:

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

Provider Enumeration Date	:	04/09/2024
Last Update Date	:	04/14/2026

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Directions to “ CINDY FERGUSON APRN” Practice Location

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