MEDICARE: DR. MIGUEL FERRER

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
1	1223G0001X	General Practice Dentistry	DN13360	FL

General Provider Information

NPI Number	:	1558792135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIGUEL FERRER

Provider Business Mailing Address
First Line	:	6462 LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3008
Country	:	US
Telephone Number	:	561-641-8985
Fax Number	:

Provider Business Practice Location Address
First Line	:	6462 LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3008
Country	:	US
Telephone Number	:	561-641-8985
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2013
Last Update Date	:	12/17/2013

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