Provider Demographics
NPI:1245204833
Name:G. M. RAMAPPA, M.D., F.A.A.P., P.A.
Entity Type:Organization
Organization Name:G. M. RAMAPPA, M.D., F.A.A.P., P.A.
Other - Org Name:KIDZ CARE PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REDA
Authorized Official - Middle Name:
Authorized Official - Last Name:AWAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-863-5474
Mailing Address - Street 1:12136 COBBLESTONE DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-2432
Mailing Address - Country:US
Mailing Address - Phone:727-863-5474
Mailing Address - Fax:727-868-0312
Practice Address - Street 1:12136 COBBLESTONE DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-2432
Practice Address - Country:US
Practice Address - Phone:727-863-5474
Practice Address - Fax:727-868-0312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-13
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254238201Medicaid
FL108692900Medicaid
FL254238200Medicaid