Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH7096 | FL |
NPI | 1306059530 |
---|---|
Provider Name | Dr. Juan Ramos |
First Address | Kissimmee, FL 34741-4125 |
Second Address | Kissimmee, FL 34741-4125 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 03/08/2007 |