Provider Demographics
NPI:1245429349
Name:FERRIN, FRANK J (MD)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:J
Last Name:FERRIN
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 1:3143 PONCE DE LEON BLV.
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134
Mailing Address - Country:US
Mailing Address - Phone:305-640-5602
Mailing Address - Fax:305-640-5603
Practice Address - Street 1:10700 N KENDALL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1437
Practice Address - Country:US
Practice Address - Phone:305-270-7999
Practice Address - Fax:305-270-6788
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME34251174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL067157600Medicaid
FL067157600Medicaid
FL41179Medicare PIN
FLD85746Medicare UPIN