Healthcare Provider Details
I. General information
NPI: 1952417404
Provider Name (Legal Business Name): JOHN FERRO D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/21/2006
Last Update Date: 08/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8197 N UNIVERSITY DR STE 3
TAMARAC FL
33321-1743
US
IV. Provider business mailing address
601 N CONGRESS AVE SUITE 417
DELRAY BEACH FL
33445-4621
US
V. Phone/Fax
- Phone: 954-720-2800
- Fax: 954-720-6547
- Phone: 561-498-4300
- Fax: 561-498-4539
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH8686 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: