DR. KERON ALICIA FERGUSON


Address: 222 Broadway, Suite 301, Kissimmee, FL 34741
Phone: 4078468180

DR. KERON ALICIA FERGUSON (NPI# 1215007125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215007125
Entity Type Individual
Full Name DR. KERON ALICIA FERGUSON
Credential M.D.
Practice Address 222 Broadway
Suite 301
Kissimmee
FL 34741
Mailing Address 222 Broadway Suite 301
Attn: Credentialing
Kissimmee
FL 34741
Practice Telephone 4078468180
Practice Fax Number 4072017966
Mailing Telephone 4078468180
Mailing Fax Number 8005176794
Enumeration Date 2006-11-08
Last Update Date 2019-09-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine ME94429 FL Allopathic & Osteopathic Physicians
N 2083P0011X Preventive Medicine
Specialization: Undersea and Hyperbaric Medicine
ME94429 FL Allopathic & Osteopathic Physicians
N 208D00000X General Practice ME94429 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 222 BROADWAY
SUITE 301
City KISSIMMEE
State FL
Zip Code 34741

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013533975 Orlando Physician Group LLC Internal Medicine 222 Broadway, Kissimmee, FL 34741-5781 2020-06-17
1871980656 Integrative Physical Medicine of Kissimmee LLC. Specialist 222 Broadway, Suite 202, Kissimmee, FL 34741-5781 2015-04-20
1154728848 Damaris De Jesus Social Worker 222 Broadway, Suite 211, Kissimmee, FL 34741-5781 2014-11-25
1376965525 Nalita D Rajkumar Physician Assistant 222 Broadway, Suite 301, Kissimmee, FL 34741-5781 2014-01-07
1326472135 Impower Community/Behavioral Health 222 Broadway, 211, Kissimmee, FL 34741-5781 2013-08-28
1245674878 Teresa Guzman Social Worker 222 Broadway, Suite 211, Kissimmee, FL 34741-5781 2013-04-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083239834 Kathia I Torres Cintron Occupational Therapy Assistant 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 2020-06-08
1992340046 Zynia Spencer Marriage & Family Therapist 345 W. Oak St., Kissimmee, FL 34741 2019-11-13
1225597784 Leila Rosado Counselor All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 2019-03-14
1235610312 Yashirah Castillo Behavior Technician 230 Country Blvd, Apt 6, Kissimmee, FL 34741 2018-08-27
1376021352 Julio Cesar Castellanos Nurse Practitioner 1050 W Carroll St Apt 149, Kissimmee, FL 34741 2018-08-01
1245724715 Sonia Teresa Rodriguez Counselor 3438 W. Vine Street, Kissimmee, FL 34741 2018-06-19
1700376316 Jessica Mateo Social Worker 111 E Monument Ave Unit 412, Kissimmee, FL 34741 2018-05-18
1306340880 George Gianakakos Psychiatry & Neurology 720 W. Oak St., Suite 360, Kissimmee, FL 34741 2018-03-20
1154825693 Mary Catherine Slome Student in an Organized Health Care Education/Training Program 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 2018-03-20
1457855991 Sherwin Zachariah Thomas Student in an Organized Health Care Education/Training Program 720 W. Oak St., Ste 201, Kissimmee, FL 34741 2018-03-20
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043835473 Adventist Health System Sunbelt, Inc Family Medicine 2488 E Irlo Bronson Memorial Hwy Ste 204, Kissimmee, FL 34744-4908 2020-06-11
1386268993 Florida Advanced Medicine LLC Family Medicine 2522 Oak Run Blvd, Kissimmee, FL 34744-3017 2020-05-31
1053932202 Willka Vanessa Parra Family Medicine 1997 Willow Wood Dr # De, Kissimmee, FL 34746-3780 2020-04-29
1053932350 Mariana Carolina Diaz Family Medicine 3141 Pine Branch Dr Apt 103, Kissimmee, FL 34741-3501 2020-04-28
1124649561 Scarlet Benilde Gonzalez Family Medicine 4319 Creeks Run Blvd, Kissimmee, FL 34746-2314 2020-04-27
1952872061 Olga Lorena Seoanes Family Medicine 2068 E Osceola Pkwy, Kissimmee, FL 34743-8602 2018-12-16
1457822066 Surujdai Pooransingh Family Medicine 354 Aylesbury Ct, Kissimmee, FL 34758-4298 2018-12-07
1174011571 Summit Health Family Practice LLC Family Medicine 507 Berry James Ct, Kissimmee, FL 34744-8514 2018-05-01
1932613882 Mi Doctor LLC Family Medicine 4611 Cumbrian Lakes Dr, Kissimmee, FL 34746-6717 2017-11-29
1013360395 Derly Jean-noel Family Medicine 3380 Wilderness Trl, Kissimmee, FL 34746-2926 2016-07-21
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City KISSIMMEE
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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