Provider Demographics
NPI:1013728013
Name:FERLAND, RYAN
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:FERLAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:946 SPANISH WELLS DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-1602
Mailing Address - Country:US
Mailing Address - Phone:321-474-0089
Mailing Address - Fax:
Practice Address - Street 1:946 SPANISH WELLS DR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-1602
Practice Address - Country:US
Practice Address - Phone:321-474-0089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program