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Damon Adahn Ferreira

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9330 State Road 54, Trinity, FL 34655-1808

PECOS Enrollment

This provider is enrolled in PECOS as DAMON FERREIRA.

Based on the most recent information from CMS, provider Damon Adahn Ferreira is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:24 AM.

Profile Details

Provider ID
1700292653
Provider Type
Individual
Full Name
Ferreira, Damon Adahn
Gender
Male

Sole Proprietor
No
Enumeration Date
7/10/2014
Last Updated
11/3/2014

Contact Information

Practice Location

9330 State Road 54, Trinity, FL 34655-1808

(727) 834-4000

Unlisted Fax

Mailing Location

15660 Greyrock Dr, Spring Hill, FL 34610-3351

(727) 637-6094

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License RN9304594 Florida
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License RN9304594 Florida

Damon Adahn Ferreira

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Bailey, Corie L

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Falcon, Andrea Marie

Comiskey, Michele

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Rentz, Paul A

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Kimkare2u

Vargas, Melanie