Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | ME0078840 | FL |
NPI | 1043293038 |
---|---|
Provider Name | Ney Ricardo Ferraz Alves |
First Address | Hollywood, FL 33021-6748 |
Second Address | Hollywood, FL 33021-6748 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 04/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
257470500 | (05) | FL |
268813 | AVMED (01) | FL |
35943 | NEIGHBORHOOD HEALTH (01) | FL |
49279 | (02) | FL |
G65775 | (02) |