Individual ProviderSusana FerraPathologyAllopathic & Osteopathic PhysiciansPractice Address7305 N Military Trl, Wpb Va Medical Ctr-Pathology (113), Riviera Beach, FL 33410-7417(561) 422-7713(305) 725-3044PECOS EnrollmentBased on the most recent information from CMS, provider Susana Ferra is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1366619850Provider TypeIndividualFull NameFerra, SusanaCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date5/13/2008Last Updated9/30/2009Contact InformationPractice LocationPractice Address7305 N Military Trl, Wpb Va Medical Ctr-Pathology (113), Riviera Beach, FL 33410-7417Phone(561) 422-7713FaxUnlisted FaxMailing LocationMailing Address610 Clematis St, Apt 506, West Palm Beach, FL 33401-5398Phone(305) 725-3044FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207ZP0102XPrimaryDescriptionPathologyAllopathic & Osteopathic PhysiciansLicenseME100979FloridaCode207ZC0500XDescriptionPathologyAllopathic & Osteopathic PhysiciansLicenseME100979FloridaCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseME100979Florida