Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | BP10025229 | TX |
N | 111NI0900X | Internist | BP10025229 | TX |
N | 207R00000X | Internist | ME107535 | FL |
N | 111NI0900X | Internist | ME107535 | FL |
Y | 208000000X | Pediatrician | ME107535 | FL |
NPI | 1003142555 |
---|---|
Provider Name | Dr. Joanna G Ramirez |
First Address | Brandon, FL 33511-4849 |
Second Address | Brandon, FL 33511-4849 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2009 |
Last Update Date | 08/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003192200 | (05) | FL |