Provider Demographics
NPI:1043293038
Name:ALVES, NEY RICARDO FERRAZ (MD)
Entity Type:Individual
Prefix:
First Name:NEY
Middle Name:RICARDO FERRAZ
Last Name:ALVES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3850 HOLLYWOOD BLVD
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6748
Mailing Address - Country:US
Mailing Address - Phone:954-961-9200
Mailing Address - Fax:954-961-9282
Practice Address - Street 1:3850 HOLLYWOOD BLVD
Practice Address - Street 2:SUITE 1B
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6748
Practice Address - Country:US
Practice Address - Phone:954-961-9200
Practice Address - Fax:954-961-9282
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0078840207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL35943OtherNEIGHBORHOOD HEALTH
FL268813OtherAVMED
FL257470500Medicaid
FL257470500Medicaid
FL268813OtherAVMED