Provider Demographics
NPI:1376560284
Name:FERLAND, LOUISE DIANE (MD)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:DIANE
Last Name:FERLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 W GORE ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1113
Mailing Address - Country:US
Mailing Address - Phone:321-841-5469
Mailing Address - Fax:321-841-7470
Practice Address - Street 1:55 W GORE ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1113
Practice Address - Country:US
Practice Address - Phone:321-841-5469
Practice Address - Fax:321-841-7470
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME145374207PE0005X, 208200000X, 2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106346800Medicaid