Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | FLME0037704 | FL |
Y | 2080P0202X | Pediatric Cardiologist | ME37704 | FL |
NPI | 1144257254 |
---|---|
Provider Name | Dr. Agustin Ramos |
First Address | Orlando, FL 32804 |
Second Address | Orlando, FL 32804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 03/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
066005100 | (05) | FL |
D55049 | (02) | FL |