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Contact Information

DAVID J FERNER, MD
422 HARSTVEDT RD
SANTA ROSA BEACH, FL32459-5234
 Phone: 850-343-4332
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for DAVID J FERNER · (Male)

NPI # 1356433437
Status Active
Credentials MD
Entity Individual
Enumeration date 09/28/2006
Last updated 07/30/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # ME106534
  • GA License # 054877
  • GA Medicaid 291557642A
  • GA Other 054877 LICENSE NUMBER
Hospital affiliation(s)
  • FORT WALTON BEACH MEDICAL CENTER - (Acute Care)
    1000 MAR-WALT DR
    FORT WALTON BEACH, FL 32547
  • GULF COAST MEDICAL CENTER - (Acute Care)
    449 W 23RD ST
    PANAMA CITY, FL 32405
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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