Provider Demographics
NPI:1730258781
Name:FERLITA, JOHN A (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:FERLITA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6719 GALL BLVD
Mailing Address - Street 2:SUITE #208
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-2571
Mailing Address - Country:US
Mailing Address - Phone:813-782-7318
Mailing Address - Fax:813-788-5067
Practice Address - Street 1:6719 GALL BLVD
Practice Address - Street 2:SUITE #208
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-2571
Practice Address - Country:US
Practice Address - Phone:813-782-7318
Practice Address - Fax:813-788-5067
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2016-03-17
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Provider Licenses
StateLicense IDTaxonomies
FLME45789207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL048365600Medicaid
FL048365600Medicaid
FL51261YMedicare PIN