Individual
DR. RICARDO JP FERRAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5656 BENEVA WOODS CIR, SARASOTA, FL 34233-4124
(973) 477-1952
(973) 589-2405
Mailing address
5656 BENEVA WOODS CIR, SARASOTA, FL 34233-4124
(973) 477-1952
(973) 589-2405
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
25MA04109100
NJ
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME158063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058663
AMERICAN BOARD OF PEDIATR
NJ
01
—
25MA04019100
NJ LICENSE
NJ
01
—
312-221-5
ECFMG NUMBER
NJ
05
—
3127800
—
NJ
01
—
31D0108131
CLIA NUMBER
NJ
01
—
D03302700
NJ CDS NUMBER
NJ
01
—
ME158063
FL LICENSE
FL
Enumeration date
02/07/2006
Last updated
03/07/2023
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