Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | ME65265 | FL |
N | 207QA0505X | Family Doctor - Adult Medicine | 153645 | NY |
NPI | 1215092663 |
---|---|
Provider Name | Dr. Ramon E Vado |
First Address | West Palm Beach, FL 33409-6501 |
Second Address | West Palm Beach, FL 33409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2006 |
Last Update Date | 07/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B15373 | (02) | NY |