MEDICARE: DR. JOHN A FERLITA M.D.

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	207V00000X	Obstetrics & Gynecology Physician	ME45789	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730258781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN A FERLITA M.D.

Provider Business Mailing Address
First Line	:	6719 GALL BLVD
Second Line	:	SUITE #208
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-2571
Country	:	US
Telephone Number	:	813-782-7318
Fax Number	:	813-788-5067

Provider Business Practice Location Address
First Line	:	6719 GALL BLVD
Second Line	:	SUITE #208
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-2571
Country	:	US
Telephone Number	:	813-782-7318
Fax Number	:	813-788-5067

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

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	03/17/2016

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