Provider Demographics
NPI:1265944987
Name:RAMOSO, OLIVER CALUNGCAGIN (ARNP)
Entity type:Individual
Prefix:
First Name:OLIVER
Middle Name:CALUNGCAGIN
Last Name:RAMOSO
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:OLIVER
Other - Middle Name:
Other - Last Name:RAMOSO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 658
Mailing Address - Street 2:
Mailing Address - City:FRUITLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:34731-0658
Mailing Address - Country:US
Mailing Address - Phone:352-633-7649
Mailing Address - Fax:352-633-7694
Practice Address - Street 1:801 HIGHWAY 466 STE B101
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-3925
Practice Address - Country:US
Practice Address - Phone:352-633-7649
Practice Address - Fax:352-633-7694
Is Sole Proprietor?:No
Enumeration Date:2017-11-03
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3319212363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily