MEDICARE: DANIELLE LEIGH FERRA DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS19444	FL

General Provider Information

NPI Number	:	1336720093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE LEIGH FERRA DO

Provider Business Mailing Address
First Line	:	15820 PORTOFINO SPRINGS BLVD APT 101
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-8548
Country	:	US
Telephone Number	:	912-399-3124
Fax Number	:

Provider Business Practice Location Address
First Line	:	8831 FOUNDERS SQUARE DR
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34120-0733
Country	:	US
Telephone Number	:	239-920-4503
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2021
Last Update Date	:	07/15/2024

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