Provider Demographics
NPI:1619917853
Name:FERRERO, ALESSANDRO (MD)
Entity Type:Individual
Prefix:DR
First Name:ALESSANDRO
Middle Name:
Last Name:FERRERO
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 1:180 S KNOWLES AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-7009
Mailing Address - Country:US
Mailing Address - Phone:407-628-1300
Mailing Address - Fax:407-628-2788
Practice Address - Street 1:180 S KNOWLES AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-7009
Practice Address - Country:US
Practice Address - Phone:407-628-1300
Practice Address - Fax:407-628-2788
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME40876208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL068017600Medicaid
FL068017600Medicaid
FL1619917853Medicare PIN