MEDICARE: AMR F FERGANY 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	208800000X	Urology Physician	35073997F	OH
2	208800000X	Urology Physician	ME138719	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811923394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMR F FERGANY MD

Provider Business Mailing Address
First Line	:	8005 83RD AVE STE 4
Second Line	:
City	:	SEBASTIAN
State	:	FL
Zip	:	32958-3244
Country	:	US
Telephone Number	:	772-918-4327
Fax Number	:	772-787-4328

Provider Business Practice Location Address
First Line	:	8005 83RD AVE STE 4
Second Line	:
City	:	SEBASTIAN
State	:	FL
Zip	:	32958-3244
Country	:	US
Telephone Number	:	772-918-4327
Fax Number	:	772-787-4328

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

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	06/10/2025

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Directions to “ AMR F FERGANY MD” Practice Location

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