Provider Demographics
NPI:1760848519
Name:FERRI, THIAGO
Entity Type:Individual
Prefix:
First Name:THIAGO
Middle Name:
Last Name:FERRI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RUA RUI BARBOSA 650
Mailing Address - Street 2:
Mailing Address - City:FLORIANOPOLIS
Mailing Address - State:SANTA CATARINA
Mailing Address - Zip Code:88025301
Mailing Address - Country:BR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:RUA RUI BARBOSA 650
Practice Address - Street 2:
Practice Address - City:FLORIANOPOLIS
Practice Address - State:SANTA CATARINA
Practice Address - Zip Code:88025301
Practice Address - Country:BR
Practice Address - Phone:55489-977-9108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-10
Last Update Date:2016-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ13905208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery