Provider Demographics
NPI:1669288072
Name:P F DINIZ FERREIRA, MARILIA (MD)
Entity type:Individual
Prefix:
First Name:MARILIA
Middle Name:
Last Name:P F DINIZ FERREIRA
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:RUA ARTUR PRADO 369,
Mailing Address - Street 2:APT 81
Mailing Address - City:SAO PAULO
Mailing Address - State:SAO PAULO
Mailing Address - Zip Code:01322000
Mailing Address - Country:BR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 100371
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0371
Practice Address - Country:US
Practice Address - Phone:352-265-0296
Practice Address - Fax:352-265-0279
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMFC19262085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging