MEDICARE: FERMIN A ANO MD

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	207Q00000X	Family Medicine Physician	ME0020477	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326131400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERMIN A ANO MD

Provider Business Mailing Address
First Line	:	2089 S RIDGEWOOD AVE
Second Line	:
City	:	SOUTH DAYTONA
State	:	FL
Zip	:	32119-2240
Country	:	US
Telephone Number	:	386-767-7533
Fax Number	:	386-236-9929

Provider Business Practice Location Address
First Line	:	2089 S RIDGEWOOD AVE
Second Line	:
City	:	SOUTH DAYTONA
State	:	FL
Zip	:	32119-2240
Country	:	US
Telephone Number	:	386-767-7533
Fax Number	:	386-236-9929

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	03/08/2026

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