MEDICARE: DR. LAURENCE R FERBER 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	2086S0127X	Trauma Surgery Physician	ME85110	FL
2	208600000X	Surgery Physician	ME85110	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00006849	OTHER	FL	RR MEDICARE

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	78746	OTHER	FL	BLUE CROSS BLUE SHIELD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679540744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURENCE R FERBER M.D.

Provider Business Mailing Address
First Line	:	403 W HIGHLAND BLVD
Second Line	:
City	:	INVERNESS
State	:	FL
Zip	:	34452-4717
Country	:	US
Telephone Number	:	352-726-3646
Fax Number	:	352-726-0079

Provider Business Practice Location Address
First Line	:	7062 S ALOYSIA AVE
Second Line	:
City	:	FLORAL CITY
State	:	FL
Zip	:	34436-2844
Country	:	US
Telephone Number	:	352-364-4038
Fax Number	:	352-419-4302

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

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	01/04/2022

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Directions to “ DR. LAURENCE R FERBER M.D.” Practice Location

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