Provider Demographics
NPI:1740692672
Name:FERRO, CAROLINA (SLP)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:
Last Name:FERRO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8841 SW 59TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-5002
Mailing Address - Country:US
Mailing Address - Phone:305-202-2390
Mailing Address - Fax:
Practice Address - Street 1:8841 SW 59TH LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5002
Practice Address - Country:US
Practice Address - Phone:305-202-2390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-27
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ6646235Z00000X
FLSA13624235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013183300Medicaid