Provider Demographics
NPI:1467674838
Name:FERRARA, FILOMENA FELICIA (EDS, PHD/ABVE/D)
Entity type:Individual
Prefix:DR
First Name:FILOMENA
Middle Name:FELICIA
Last Name:FERRARA
Suffix:
Gender:F
Credentials:EDS, PHD/ABVE/D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 N ROCKY POINT DR W
Mailing Address - Street 2:SUITE 150
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5803
Mailing Address - Country:US
Mailing Address - Phone:813-259-0303
Mailing Address - Fax:877-669-0303
Practice Address - Street 1:3030 N ROCKY POINT DR W
Practice Address - Street 2:SUITE 150
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-5803
Practice Address - Country:US
Practice Address - Phone:813-259-0303
Practice Address - Fax:877-669-0303
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSS434103TB0200X, 103TH0004X, 225XM0800X, 103TS0200X
103TF0200X, 1744R1102X, 2255R0406X, 225C00000X
SS434103TM1800X
FL225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealthGroup - Multi-Specialty
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No1744R1102XOther Service ProvidersSpecialistResearch Study
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272399908OtherFEIN
FL030384768OtherFEIN