Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | POR94 | FL |
Y | 222Z00000X | Podiatrist | POR94 | FL |
N | 224P00000X | Prosthetist | POR94 | FL |
NPI | 1063415693 |
---|---|
Provider Name | Eric Ramcharran |
First Address | Tallahassee, FL 32308-8405 |
Second Address | Tallahassee, FL 32308-8405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 04/10/2007 |