Provider Demographics
NPI:1841585346
Name:JOHN A. FERLITA, M.D.,P.A.
Entity Type:Organization
Organization Name:JOHN A. FERLITA, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FERLITA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-782-7318
Mailing Address - Street 1:6719 GALL BLVD
Mailing Address - Street 2:SUITE #208
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-2571
Mailing Address - Country:US
Mailing Address - Phone:813-782-7318
Mailing Address - Fax:813-788-5067
Practice Address - Street 1:6719 GALL BLVD
Practice Address - Street 2:SUITE #208
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-2571
Practice Address - Country:US
Practice Address - Phone:813-782-7318
Practice Address - Fax:813-788-5067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-13
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME45789207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL048365600Medicaid
FLD56024Medicare UPIN
FLFP833AMedicare PIN