Provider Demographics
NPI:1790794261
Name:FERRARO, PABLO (MD)
Entity Type:Individual
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First Name:PABLO
Middle Name:
Last Name:FERRARO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2900 CORPORATE WAY
Mailing Address - Street 2:DOOR D
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3925
Mailing Address - Country:US
Mailing Address - Phone:954-276-5685
Mailing Address - Fax:954-985-7074
Practice Address - Street 1:801 N FLAMINGO RD
Practice Address - Street 2:SUITE 11
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028
Practice Address - Country:US
Practice Address - Phone:954-265-4325
Practice Address - Fax:954-443-4747
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2021-03-19
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Provider Licenses
StateLicense IDTaxonomies
FL87527207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014816900Medicaid
FLH86025Medicare UPIN