Provider Demographics
NPI:1992373138
Name:RAMIREZ, KAREN SELENA (PTA)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:SELENA
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6528 BOICE ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-5812
Mailing Address - Country:US
Mailing Address - Phone:407-446-2559
Mailing Address - Fax:
Practice Address - Street 1:2501 BURNS RD
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-5207
Practice Address - Country:US
Practice Address - Phone:561-627-4427
Practice Address - Fax:561-627-2798
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA31069208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation