Provider Demographics
NPI:1568048353
Name:RHAMES, SONJA (APRN)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:RHAMES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SONJA
Other - Middle Name:
Other - Last Name:RHAMES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:1043 TOWN CENTER DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-8360
Mailing Address - Country:US
Mailing Address - Phone:407-792-9520
Mailing Address - Fax:
Practice Address - Street 1:768 WESTLINE AVE
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725-7273
Practice Address - Country:US
Practice Address - Phone:407-792-9520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-22
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11012235363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily