Provider Demographics
NPI:1295069391
Name:RAMDASS, RITA RUBINA
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:RUBINA
Last Name:RAMDASS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9047 - 7TH ST. NORTH
Mailing Address - Street 2:
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702
Mailing Address - Country:US
Mailing Address - Phone:727-481-3000
Mailing Address - Fax:
Practice Address - Street 1:9047 - 7TH ST. NORTH
Practice Address - Street 2:
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702
Practice Address - Country:US
Practice Address - Phone:727-481-3000
Practice Address - Fax:727-577-5030
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-23
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLIC#6906228311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home