Provider Demographics
NPI:1578136008
Name:WARD MEGRET, RONALD (APRN)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:WARD MEGRET
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3531 W 73RD TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1715
Mailing Address - Country:US
Mailing Address - Phone:786-468-4871
Mailing Address - Fax:
Practice Address - Street 1:15495 EAGLE NEST LN STE 225
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2265
Practice Address - Country:US
Practice Address - Phone:305-828-3214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11011622261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center