Provider Demographics
NPI:1134291222
Name:RAMIREZ & POULOS MD PA
Entity Type:Organization
Organization Name:RAMIREZ & POULOS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:J
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-843-2020
Mailing Address - Street 1:324 E PAR ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4004
Mailing Address - Country:US
Mailing Address - Phone:407-843-0202
Mailing Address - Fax:407-649-9299
Practice Address - Street 1:324 E PAR ST STE 200
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4004
Practice Address - Country:US
Practice Address - Phone:407-843-0202
Practice Address - Fax:407-649-9299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5800960001Medicare NSC
FL45140Medicare PIN
FL180040925Medicare PIN