Gary Feraudo

NPI 1598166472 · on the registry since 2014 · sole proprietor

Practice

Address: 323 S Marion Ave
Knox Ave
Lake City, FL 32025
Phone: (386) 867-0000
Fax: (386) 755-3625
Organisation at this address: Nancey Upshaw, Inc.
Le Fleur Wellness Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 172M00000X
172M00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida