Provider Demographics
NPI:1831489244
Name:RAMOS, MYRNA (MED)
Entity Type:Individual
Prefix:MRS
First Name:MYRNA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3224 LORDMALL CT
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-5146
Mailing Address - Country:US
Mailing Address - Phone:407-687-9893
Mailing Address - Fax:
Practice Address - Street 1:3224 LORDMALL CT
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-5146
Practice Address - Country:US
Practice Address - Phone:407-687-9893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist