Provider Demographics
NPI:1467721464
Name:RAMOS, FARIDE (MD)
Entity Type:Individual
Prefix:
First Name:FARIDE
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 S OCEAN DR APT 3501
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-7686
Mailing Address - Country:US
Mailing Address - Phone:708-435-9434
Mailing Address - Fax:
Practice Address - Street 1:8391 W OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7307
Practice Address - Country:US
Practice Address - Phone:954-749-1616
Practice Address - Fax:954-749-1639
Is Sole Proprietor?:No
Enumeration Date:2011-12-20
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125057433207R00000X
FLME 120605207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine