Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | E4291 | CA |
Y | 213ES0103X | Foot & Ankle Surgery | PO2849 | FL |
NPI | 1073660585 |
---|---|
Provider Name | Dr. Madelin Carracela Ramil |
First Address | Plantation, FL 33324-2039 |
Second Address | Plantation, FL 33324-2039 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 22/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U86595 | (02) | FL |