MEDICARE: ALLISON POIMBOEUF FERRARA 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	207R00000X	Internal Medicine Physician	305415	LA
2	207R00000X	Internal Medicine Physician	33459	AL
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207R00000X	Internal Medicine Physician	ME135995	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME135995	OTHER	FL	LICENSE

General Provider Information

NPI Number	:	1477812824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON POIMBOEUF FERRARA M.D.

Provider Business Mailing Address
First Line	:	305 N MANGOUSTINE AVE STE 200
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-1004
Country	:	US
Telephone Number	:	407-871-5120
Fax Number	:	407-330-9949

Provider Business Practice Location Address
First Line	:	305 N MANGOUSTINE AVE STE 200
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-1004
Country	:	US
Telephone Number	:	407-871-5120
Fax Number	:	407-330-9949

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

Provider Enumeration Date	:	05/04/2012
Last Update Date	:	07/08/2025

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