Provider Demographics
NPI:1942777867
Name:SANTOS, RAMONA FATIMA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RAMONA FATIMA
Middle Name:
Last Name:SANTOS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 ISLAND WAY APT 604
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33767-2206
Mailing Address - Country:US
Mailing Address - Phone:407-721-8599
Mailing Address - Fax:
Practice Address - Street 1:31 ISLAND WAY
Practice Address - Street 2:APT 604
Practice Address - City:CLEARWATER BEACH
Practice Address - State:FL
Practice Address - Zip Code:33767
Practice Address - Country:US
Practice Address - Phone:407-721-8599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL57155183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist