Provider Demographics
NPI:1841223559
Name:PEVSNER, RAMSEY (DO)
Entity Type:Individual
Prefix:
First Name:RAMSEY
Middle Name:
Last Name:PEVSNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 DESOTO ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-4519
Mailing Address - Country:US
Mailing Address - Phone:954-662-1010
Mailing Address - Fax:954-920-5434
Practice Address - Street 1:120 S UNIVERSITY DR
Practice Address - Street 2:STE D
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3356
Practice Address - Country:US
Practice Address - Phone:954-792-0772
Practice Address - Fax:954-792-1221
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS93602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry