Healthcare Provider Details

I. General information

NPI: 1033963582
Provider Name (Legal Business Name): FELIPE FERRAZ MARTINS GRACA ARANHA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2024
Last Update Date: 07/10/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4725 NORTH FEDERAL HIGHWAY
FORT LAUDERDALE FL
33308
US

IV. Provider business mailing address

RUA TOM JOBIM LO5
FLORIANOPOLIS SANTA CATARINA
88032760
BR

V. Phone/Fax

Practice location:
  • Phone: 954-771-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: