Individual
JOSE A FERREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
508 S HABANA AVE, SUITE 340, TAMPA, FL 33609-4181
(813) 873-7367
(813) 875-9722
Mailing address
508 S HABANA AVE, SUITE 340, TAMPA, FL 33609-4181
(813) 873-7367
(813) 875-9722
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2084N0400X
Neurology Physician
ME65761
FL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME65761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25130
BLUE CROSS BLUE SHIELD
FL
05
—
375547900
—
FL
Enumeration date
06/10/2006
Last updated
03/20/2013
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