Healthcare Provider Details

I. General information

NPI: 1457552739
Provider Name (Legal Business Name): TAMMY NGUYEN FERRO D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TAM NGUYEN FERRO D.O.

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 E FLETCHER AVE
TAMPA FL
33613-4613
US

IV. Provider business mailing address

320 S LECANTO HIGHWAY PO BOX 1125
OCALA FL
34461-9998
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-7283
  • Fax: 407-303-0473
Mailing address:
  • Phone: 352-509-6811
  • Fax: 352-270-8601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number005539
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS11575
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number005539
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number005539
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License NumberOS11575
License Number StateFL
# 6
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberOS11575
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberOS11575
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: