Provider Demographics
NPI:1679772354
Name:RAMIREZ, CELIA (PA)
Entity Type:Individual
Prefix:MRS
First Name:CELIA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4967 SW 90TH WAY
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3501
Mailing Address - Country:US
Mailing Address - Phone:954-512-9555
Mailing Address - Fax:
Practice Address - Street 1:10971 CRABAPPLE RD STE 1900
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-5836
Practice Address - Country:US
Practice Address - Phone:678-535-0090
Practice Address - Fax:678-535-0092
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9104986363AM0700X
GA10956363A00000X
NY011901363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical