Provider Demographics
NPI:1629792197
Name:RAMOS, DALILA
Entity Type:Individual
Prefix:
First Name:DALILA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4264 CLOVERLEAF PL
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-4703
Mailing Address - Country:US
Mailing Address - Phone:407-923-1898
Mailing Address - Fax:888-966-0535
Practice Address - Street 1:2431 ALOMA AVE STE 278
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-2541
Practice Address - Country:US
Practice Address - Phone:407-923-1898
Practice Address - Fax:888-966-0535
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-28
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier