Provider Demographics
NPI:1245850460
Name:RAMOS, CHRISTINE BAUTISTA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:BAUTISTA
Last Name:RAMOS
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 1:335 N MAGNOLIA AVE APT 601
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-1795
Mailing Address - Country:US
Mailing Address - Phone:727-512-4444
Mailing Address - Fax:
Practice Address - Street 1:6651 OLD WINTER GARDEN RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-1221
Practice Address - Country:US
Practice Address - Phone:407-293-2941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS57998183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist