Ivan Foster Ackerman, M.D
Internal Medicine, Pulmonary Disease in Brandon, FL. Individual provider (NPI-1).
NPI number1609836089
StatusActive
Last updated in NPPESDec 15, 2009
Details
- NPI
- 1609836089
- Entity type
- Individual (NPI-1)
- Name
- Ivan Foster Ackerman
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2006
- Last updated
- Dec 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | ME48711 | FL | Yes |
Practice location
402 Noland DrBrandon, FL 33511-5709
Phone 813-655-9000 · Fax 813-655-7344
Mailing address
402 Noland DrBrandon, FL 33511-5709
Phone 813-655-9000 · Fax 813-655-7344
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