Provider Demographics
NPI:1225651862
Name:RAMOS, KARA CAMILLE (RPH)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:CAMILLE
Last Name:RAMOS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2267 GRAYLING ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32820-1459
Mailing Address - Country:US
Mailing Address - Phone:561-373-6068
Mailing Address - Fax:
Practice Address - Street 1:2267 GRAYLING ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32820-1459
Practice Address - Country:US
Practice Address - Phone:561-373-6068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS59897183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist