Provider Demographics
NPI:1073543773
Name:MANUEL C.FERREIRA MD PA
Entity Type:Organization
Organization Name:MANUEL C.FERREIRA MD PA
Other - Org Name:MANUEL COSTA FERREIRA MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:COSTA
Authorized Official - Last Name:FERREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-629-0108
Mailing Address - Street 1:2801 SW COLLEGE RD
Mailing Address - Street 2:STE 7
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7406
Mailing Address - Country:US
Mailing Address - Phone:352-629-0108
Mailing Address - Fax:
Practice Address - Street 1:2801 SW COLLEGE RD
Practice Address - Street 2:STE 7
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7406
Practice Address - Country:US
Practice Address - Phone:352-629-0108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME30143207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty