Provider Demographics
NPI:1952859928
Name:RAMZY, SAMUEL
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:
Last Name:RAMZY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 BRICKELL BAY DR
Mailing Address - Street 2:UNIT 1109
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2983
Mailing Address - Country:US
Mailing Address - Phone:786-238-6998
Mailing Address - Fax:
Practice Address - Street 1:1155 BRICKELL BAY DR
Practice Address - Street 2:UNIT 1109
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2983
Practice Address - Country:US
Practice Address - Phone:786-238-6998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3733171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist