Provider Demographics
NPI:1184833154
Name:FICARRA, JOSEPH MICHAEL (HIS)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:FICARRA
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2298 NW BOCA RATON BLVD
Mailing Address - Street 2:SUITE 14
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7458
Mailing Address - Country:US
Mailing Address - Phone:888-443-2725
Mailing Address - Fax:561-338-2981
Practice Address - Street 1:2298 NW BOCA RATON BLVD
Practice Address - Street 2:SUITE 14
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7458
Practice Address - Country:US
Practice Address - Phone:888-443-2725
Practice Address - Fax:561-338-2981
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS1952237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist