Provider Demographics
NPI:1003142555
Name:RAMIREZ, JOANNA G (MD)
Entity Type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:G
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:214 MORRISON RD
Mailing Address - Street 2:STE 110
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4849
Mailing Address - Country:US
Mailing Address - Phone:813-844-4300
Mailing Address - Fax:813-844-1909
Practice Address - Street 1:214 MORRISON RD
Practice Address - Street 2:STE 110
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4849
Practice Address - Country:US
Practice Address - Phone:813-844-4300
Practice Address - Fax:813-844-1909
Is Sole Proprietor?:No
Enumeration Date:2009-10-19
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10025229207R00000X
FLME107535208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003192200Medicaid
FLDK979YMedicare PIN