Provider Demographics
NPI:1982027397
Name:AM FERRAN PA
Entity Type:Organization
Organization Name:AM FERRAN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-903-6011
Mailing Address - Street 1:10691 N KENDALL DR STE 110
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1596
Mailing Address - Country:US
Mailing Address - Phone:305-903-6011
Mailing Address - Fax:305-598-0583
Practice Address - Street 1:10691 N KENDALL DR STE 110
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1596
Practice Address - Country:US
Practice Address - Phone:305-903-6011
Practice Address - Fax:305-598-0583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103332700Medicaid
FL4859031OtherCIGNA
FL9328453OtherAETNA
FL40001OtherUMBH