Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS 7478 | FL |
NPI | 1679686687 |
---|---|
Provider Name | Dr. Laura Tam Rampil |
First Address | Winter Park, FL 32789-2124 |
Second Address | Winter Park, FL 32789 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 07/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F77189 | (02) | FL |