Provider Demographics
NPI:1073660585
Name:RAMIL, MADELIN CARRACELA (DPM)
Entity Type:Individual
Prefix:DR
First Name:MADELIN
Middle Name:CARRACELA
Last Name:RAMIL
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N UNIVERSITY DR
Mailing Address - Street 2:STE 110
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2039
Mailing Address - Country:US
Mailing Address - Phone:954-370-2400
Mailing Address - Fax:954-370-2459
Practice Address - Street 1:201 N UNIVERSITY DR
Practice Address - Street 2:STE 110
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2039
Practice Address - Country:US
Practice Address - Phone:954-370-2400
Practice Address - Fax:954-370-2459
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2849213ES0103X
CAE4291213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU86595Medicare UPIN
FL3933150001Medicare NSC