Provider Demographics
NPI:1376010405
Name:RAMOS, EDWIN S (APRN)
Entity Type:Individual
Prefix:
First Name:EDWIN
Middle Name:S
Last Name:RAMOS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 W SAINT ISABEL ST STE F
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6371
Mailing Address - Country:US
Mailing Address - Phone:813-935-4744
Mailing Address - Fax:813-931-1427
Practice Address - Street 1:2901 W SAINT ISABEL ST STE F
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6371
Practice Address - Country:US
Practice Address - Phone:813-935-4744
Practice Address - Fax:813-931-1427
Is Sole Proprietor?:No
Enumeration Date:2018-10-26
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9398337363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health