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General NPI Number Information
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NPI Number | 1043156730
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Entity Type | Individual
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Provider Name | SEAN DOUGLAS FERRER ERGINA
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Gender | Male
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 2013 LIVE OAK BLVD STE B&C
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City | SAINT CLOUD
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State | FL
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Zip | 34771-8408
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Country | US
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Telephone | 407-593-2388
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Fax |
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Provider Business Mailing Address
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Address Line | 200 WHISTLING DUCK TRL
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City | SAINT CLOUD
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State | FL
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Zip | 34771-9364
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Country | US
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Telephone | 561-601-4096
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11044100
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License Number State | FL
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