Provider Demographics
NPI:1699849893
Name:JUDITH D. ARONSON RAMOS, MD, PA
Entity Type:Organization
Organization Name:JUDITH D. ARONSON RAMOS, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-901-3965
Mailing Address - Street 1:5350 WEST HILLSBORO BLVD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073
Mailing Address - Country:US
Mailing Address - Phone:954-531-0847
Mailing Address - Fax:954-531-0915
Practice Address - Street 1:5350 WEST HILLSBORO BLVD
Practice Address - Street 2:SUITE 207
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073
Practice Address - Country:US
Practice Address - Phone:954-531-0847
Practice Address - Fax:954-531-0915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME611682080P0006X
FL611862080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
62014Medicare UPIN