Healthcare Provider Details

I. General information

NPI: 1790849297
Provider Name (Legal Business Name): JEAN MAUREEN FERBER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5352 LINTON BLVD
DELRAY BEACH FL
33484-6514
US

IV. Provider business mailing address

5352 LINTON BLVD
DELRAY BEACH FL
33484-6514
US

V. Phone/Fax

Practice location:
  • Phone: 591-495-3166
  • Fax: 561-495-3410
Mailing address:
  • Phone: 561-495-3166
  • Fax: 561-495-3410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License NumberME65653
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: