Provider Demographics
NPI:1740402965
Name:RAMOS, SALVADOR D II (DO)
Entity Type:Individual
Prefix:DR
First Name:SALVADOR
Middle Name:D
Last Name:RAMOS
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9401 SW HIGHWAY 200 BLDG 90
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481-9612
Mailing Address - Country:US
Mailing Address - Phone:352-368-1661
Mailing Address - Fax:352-867-9794
Practice Address - Street 1:9401 SW HIGHWAY 200 BLDG 90
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481
Practice Address - Country:US
Practice Address - Phone:352-368-1661
Practice Address - Fax:352-867-9794
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY03217208600000X
ORLL16403208600000X
FLOS11465208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14J9SOtherBLUE CROSS BLUE SHIELD
KY7100098440Medicaid
FL14J9SOtherBLUE CROSS BLUE SHIELD
KY7100098440Medicaid