Provider Demographics
NPI:1437204765
Name:RAMOS, GISLEDA ANNETTE (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:GISLEDA
Middle Name:ANNETTE
Last Name:RAMOS
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7663 W SAMPLE RD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4718
Mailing Address - Country:US
Mailing Address - Phone:772-692-3900
Mailing Address - Fax:754-241-0242
Practice Address - Street 1:7663 W SAMPLE RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4718
Practice Address - Country:US
Practice Address - Phone:954-775-0723
Practice Address - Fax:754-241-0242
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN134701223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650911569OtherTIN