Provider Demographics
NPI:1790095982
Name:ARCE, RAMON LAZARO (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:RAMON
Middle Name:LAZARO
Last Name:ARCE
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6155 MIAMI LAKES DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2408
Mailing Address - Country:US
Mailing Address - Phone:786-703-1145
Mailing Address - Fax:
Practice Address - Street 1:6155 MIAMI LAKES DR
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2408
Practice Address - Country:US
Practice Address - Phone:786-703-1145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-21
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3367672363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily