DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KERON ALICIA FERGUSON, M.D.

Active

DR. KERON ALICIA FERGUSON, M.D. is a 2083P0011X healthcare provider located in MAITLAND, Florida. NPI 1215007125 is currently active in the NPPES registry. Verify at CMS.

2083P0011X · MAITLAND, FL

Registration Details

NPI Number
1215007125
Provider Type
Individual
Gender
Female
NPI Issued
Nov 8, 2006 (19.769303443929 yrs)
Last Updated
Apr 2, 2025
Licenses
ME94429 (FL)
ME94429 (FL)
ME94429 (FL)

Practice Information

Address
2400 MAITLAND CENTER PKWY STE 310
MAITLAND, FL, 327517442
Browse FL providers · Browse ZIP 32751
Phone
4074264800
Fax
4074264820
Primary Specialty
2083P0011X
2083P0011X
Additional Specialty
General Practice
Additional Specialty
2083P0011X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.