Provider Demographics
NPI:1275061780
Name:PEREZ KORBA, RAMONA (RN)
Entity Type:Individual
Prefix:MRS
First Name:RAMONA
Middle Name:
Last Name:PEREZ KORBA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 S UNIVERSITY DR STE F
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3347
Mailing Address - Country:US
Mailing Address - Phone:954-990-4476
Mailing Address - Fax:954-206-4452
Practice Address - Street 1:130 S UNIVERSITY DR STE F
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3347
Practice Address - Country:US
Practice Address - Phone:954-990-4476
Practice Address - Fax:954-206-4452
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-28
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9230782163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRN9230782OtherFLORIDA BOARD OF NURSING