Provider Demographics
NPI:1194827675
Name:ALIVIO, RAMON S (PT)
Entity Type:Individual
Prefix:MR
First Name:RAMON
Middle Name:S
Last Name:ALIVIO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1857 WOODPOINTE DR
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33884-2876
Mailing Address - Country:US
Mailing Address - Phone:863-286-9289
Mailing Address - Fax:863-307-3211
Practice Address - Street 1:304 DUNDEE RD STE A
Practice Address - Street 2:
Practice Address - City:DUNDEE
Practice Address - State:FL
Practice Address - Zip Code:33838-4176
Practice Address - Country:US
Practice Address - Phone:863-286-9289
Practice Address - Fax:863-307-3211
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPT20985225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU5999ZMedicare ID - Type Unspecified
FLK8526Medicare ID - Type Unspecified