Ferris Troy Banadera Yu Asensi, MD
Student in an Organized Health Care Education/Training Program in Jacksonville, FL. Individual provider (NPI-1).
NPI number1699348482
StatusActive
Last updated in NPPESJul 20, 2021
Details
- NPI
- 1699348482
- Entity type
- Individual (NPI-1)
- Name
- Ferris Troy Banadera Yu Asensi
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2021
- Certification date
- Jul 20, 2021
- Last updated
- Jul 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
653-1 W 8th St # L15Jacksonville, FL 32209-6511
Phone 904-633-4199 · Fax 904-244-4845
Mailing address
653-1 W 8th St # L15Jacksonville, FL 32209-6511
Phone 904-633-4199 · Fax 904-244-4845
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