1811969645 NPI number — DR. FRANCESCO FERRETTI M.D.

Table of content: DR. FRANCESCO FERRETTI M.D. (NPI 1811969645)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811969645 NPI number — DR. FRANCESCO FERRETTI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FERRETTI
Provider First Name:
FRANCESCO
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811969645
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/28/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
103 MEDICAL CENTER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEBRING
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33870-5423
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
863-385-8777
Provider Business Mailing Address Fax Number:
863-385-6585

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
103 MEDICAL CENTER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEBRING
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33870-5423
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-385-8777
Provider Business Practice Location Address Fax Number:
863-385-6585
Provider Enumeration Date:
02/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  ME53639 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 136863XX . This is a "PREF CARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 10004218 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 14896 . This is a "BCBSFL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 370066600 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 077745 . This is a "BCBS PA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 616204 . This is a "TRI BCBS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 0204711 . This is a "BCBSTN" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 1472318 . This is a "UMWA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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