Healthcare Provider Details

I. General information

NPI: 1245429349
Provider Name (Legal Business Name): FRANK J. FERRIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 05/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 N KENDALL DR SUITE 200
MIAMI FL
33176-1437
US

IV. Provider business mailing address

3143 PONCE DE LEON BLV.
CORAL GABLES FL
33134
US

V. Phone/Fax

Practice location:
  • Phone: 305-270-7999
  • Fax: 305-270-6788
Mailing address:
  • Phone: 305-640-5602
  • Fax: 305-640-5603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME34251
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: