Provider Demographics
NPI:1558535567
Name:RAMON A GIL M D P A
Entity Type:Organization
Organization Name:RAMON A GIL M D P A
Other - Org Name:CHARLOTTE NEUROLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:A
Authorized Official - Last Name:GIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-743-4987
Mailing Address - Street 1:4235 KINGS HWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33980-8421
Mailing Address - Country:US
Mailing Address - Phone:941-743-4987
Mailing Address - Fax:941-743-4486
Practice Address - Street 1:4235 KINGS HWY
Practice Address - Street 2:SUITE 102
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33980-8421
Practice Address - Country:US
Practice Address - Phone:941-743-4987
Practice Address - Fax:941-743-4486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME560962084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1700847597OtherNPI
1700847597OtherNPI