Provider Demographics
NPI:1679686687
Name:RAMPIL, LAURA TAM (DO)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:TAM
Last Name:RAMPIL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1850 LEE RD STE 240
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2124
Mailing Address - Country:US
Mailing Address - Phone:407-380-7799
Mailing Address - Fax:407-380-8863
Practice Address - Street 1:1850 LEE RD STE 240
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789
Practice Address - Country:US
Practice Address - Phone:407-380-7799
Practice Address - Fax:407-380-8863
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS 7478204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF77189Medicare UPIN