Healthcare Provider Details

I. General information

NPI: 1932707643
Provider Name (Legal Business Name): JAMES FERRARA LYMPHEDEMA THERAPIST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2020
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1116 ROTONDA CIR
ROTONDA WEST FL
33947-2127
US

IV. Provider business mailing address

1116 ROTONDA CIR
ROTONDA WEST FL
33947-2127
US

V. Phone/Fax

Practice location:
  • Phone: 941-830-3749
  • Fax:
Mailing address:
  • Phone: 941-830-3749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: JAMES FERRARA
Title or Position: OWNER
Credential:
Phone: 682-225-5561