Healthcare Provider Details

I. General information

NPI: 1013975911
Provider Name (Legal Business Name): JOSE P FERRER JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 07/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 N KENDALL DR SUITE 306
MIAMI FL
33176-2144
US

IV. Provider business mailing address

8950 N KENDALL DR SUITE 306
MIAMI FL
33176-2144
US

V. Phone/Fax

Practice location:
  • Phone: 305-596-9966
  • Fax: 305-596-5752
Mailing address:
  • Phone: 305-596-9966
  • Fax: 305-596-5752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME95087
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: