Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 11013892 | FL |
NPI | 1255904744 |
---|---|
Provider Name | Annia Beatriz Ramirez |
First Address | Sunrise, FL 33322-1590 |
Second Address | Sunrise, FL 33322-1590 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2021 |
Last Update Date | 21/07/2021 |