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NPI Code Detail

MEDICARE: DR. MARC H. FERRERA M.D.

MEDICARE: DR. MARC H. FERRERA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0505XAdult Medicine PhysicianME139058FL
2207Q00000XFamily Medicine Physician01061744AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184672867
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARC H. FERRERA M.D.
Provider Business Mailing Address
First Line : 112 BARTRAM OAKS WALK
Second Line :
City : ST JOHNS
State : FL
Zip : 32259-3266
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6501 ARLINGTON EXPY STE B105
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32211-0810
Country : US
Telephone Number : 757-752-0414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 10/06/2025

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