MEDICARE: GUSTAVO FERRER MD

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	207R00000X	Internal Medicine Physician	ME104425	FL
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME104425	FL
3	207RP1001X	Pulmonary Disease Physician	ME104425	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1689824005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUSTAVO FERRER MD

Provider Business Mailing Address
First Line	:	701 N FEDERAL HWY # 601
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2449
Country	:	US
Telephone Number	:	954-482-4747
Fax Number	:	954-301-5939

Provider Business Practice Location Address
First Line	:	701 N FEDERAL HWY # 601
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2449
Country	:	US
Telephone Number	:	954-482-4747
Fax Number	:	954-301-5939

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

Provider Enumeration Date	:	09/22/2008
Last Update Date	:	09/25/2021

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Directions to “ GUSTAVO FERRER MD” Practice Location

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