Provider Demographics
NPI:1164996823
Name:RAMEAU, GEMINA (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:GEMINA
Middle Name:
Last Name:RAMEAU
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 SW 72ND TER
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-1434
Mailing Address - Country:US
Mailing Address - Phone:754-273-2920
Mailing Address - Fax:
Practice Address - Street 1:601 E SAMPLE RD STE 107
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-4443
Practice Address - Country:US
Practice Address - Phone:954-785-2355
Practice Address - Fax:954-785-0755
Is Sole Proprietor?:No
Enumeration Date:2019-01-16
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11000663363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics