Provider Demographics
NPI:1619216249
Name:ARNOLD M. RAMIREZ
Entity Type:Organization
Organization Name:ARNOLD M. RAMIREZ
Other - Org Name:JOCKDOC MEDICAL CONSULTANTS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:M
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-253-2406
Mailing Address - Street 1:4200 54TH AVE S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33711-4744
Mailing Address - Country:US
Mailing Address - Phone:727-864-7831
Mailing Address - Fax:727-864-8968
Practice Address - Street 1:4200 54TH AVE S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711-4744
Practice Address - Country:US
Practice Address - Phone:727-864-7831
Practice Address - Fax:727-864-8968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME71434207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Single Specialty