Provider Demographics
NPI:1649835364
Name:FERRARI, TAIANE (MD)
Entity type:Individual
Prefix:
First Name:TAIANE
Middle Name:
Last Name:FERRARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 CRANDON BLVD APT 1026
Mailing Address - Street 2:
Mailing Address - City:KEY BISCAYNE
Mailing Address - State:FL
Mailing Address - Zip Code:33149-1514
Mailing Address - Country:US
Mailing Address - Phone:256-542-7323
Mailing Address - Fax:
Practice Address - Street 1:251 CRANDON BLVD APT 1026
Practice Address - Street 2:
Practice Address - City:KEY BISCAYNE
Practice Address - State:FL
Practice Address - Zip Code:33149-1514
Practice Address - Country:US
Practice Address - Phone:256-542-7323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3286922084P0800X
FL1680692084P0800X
CA1959342084P0800X
TN704362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry