Provider Demographics
NPI:1952483208
Name:RAMIREZ, FREDERICK JR (MSW)
Entity Type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:
Last Name:RAMIREZ
Suffix:JR
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 SW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-3513
Mailing Address - Country:US
Mailing Address - Phone:352-265-5500
Mailing Address - Fax:352-265-5504
Practice Address - Street 1:4001 SW 13TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-3513
Practice Address - Country:US
Practice Address - Phone:352-265-5500
Practice Address - Fax:352-265-5504
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW8500104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIH164ZMedicare PIN