Provider Demographics
NPI:1477859791
Name:ARONSON-RAMOS, JUDITH (MD)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:ARONSON-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 1:5350 WEST HILLSBORO BLVD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073
Mailing Address - Country:US
Mailing Address - Phone:954-531-0847
Mailing Address - Fax:954-531-0915
Practice Address - Street 1:5350 WEST HILLSBORO BLVD
Practice Address - Street 2:SUITE 207
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073
Practice Address - Country:US
Practice Address - Phone:954-531-0847
Practice Address - Fax:954-531-0915
Is Sole Proprietor?:No
Enumeration Date:2011-02-03
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL611862080P0006X
FLME 611862080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
62014Medicare UPIN