Provider Demographics
NPI:1831489806
Name:RAMOS, TIFFANY VOLLMER (MD)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:VOLLMER
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:TIFFANY
Other - Middle Name:MARIE
Other - Last Name:VOLLMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2120 E JOHNSON AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-6036
Mailing Address - Country:US
Mailing Address - Phone:850-494-3965
Mailing Address - Fax:850-494-3966
Practice Address - Street 1:2120 E JOHNSON AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-6036
Practice Address - Country:US
Practice Address - Phone:850-494-3965
Practice Address - Fax:850-494-3966
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME120926208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics