Provider Demographics
NPI:1407361199
Name:RAMJOHN, MARTINE (APRN)
Entity Type:Individual
Prefix:
First Name:MARTINE
Middle Name:
Last Name:RAMJOHN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:MARTINE
Other - Middle Name:
Other - Last Name:HOLLY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2900 CORPORATE WAY
Mailing Address - Street 2:DOOR D
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3925
Mailing Address - Country:US
Mailing Address - Phone:954-276-5685
Mailing Address - Fax:954-985-7074
Practice Address - Street 1:4651 SHERIDAN ST STE 150
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021
Practice Address - Country:US
Practice Address - Phone:954-276-1600
Practice Address - Fax:954-893-6244
Is Sole Proprietor?:No
Enumeration Date:2017-12-04
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9194552363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty