Provider Demographics
NPI:1043290182
Name:FLAM, RONALD B (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:B
Last Name:FLAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6601 SW 80TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4661
Mailing Address - Country:US
Mailing Address - Phone:305-661-3316
Mailing Address - Fax:305-662-5736
Practice Address - Street 1:6601 S.W. 80 ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143
Practice Address - Country:US
Practice Address - Phone:305-661-3316
Practice Address - Fax:305-662-5736
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME11652207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL060068296OtherRAILROAD MEDICARE
FL048533100Medicaid
FL90986ZMedicare ID - Type Unspecified
FL060068296OtherRAILROAD MEDICARE