Provider Demographics
NPI:1548772676
Name:OGANDO, RONMY ALBERTO (ARNP)
Entity Type:Individual
Prefix:
First Name:RONMY
Middle Name:ALBERTO
Last Name:OGANDO
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3580 LAKE WORTH RD
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-4029
Mailing Address - Country:US
Mailing Address - Phone:561-425-5085
Mailing Address - Fax:561-425-5167
Practice Address - Street 1:3580 LAKE WORTH RD
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-4029
Practice Address - Country:US
Practice Address - Phone:561-425-5085
Practice Address - Fax:561-425-5167
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-30
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9323174363LF0000X
FL10170903363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty