Provider Demographics
NPI:1457361180
Name:FAILMA, RAMEL (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMEL
Middle Name:
Last Name:FAILMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 CAPITAL CIR NE
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-3711
Mailing Address - Country:US
Mailing Address - Phone:850-386-2266
Mailing Address - Fax:850-701-0885
Practice Address - Street 1:555 N BYRON BUTLER PKWY
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:FL
Practice Address - Zip Code:32347-2315
Practice Address - Country:US
Practice Address - Phone:850-223-5400
Practice Address - Fax:850-223-5401
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0095073207P00000X
FLME95073207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL56301OtherBCBS
FLP00683809OtherRR MEDICARE
FLDN5565OtherGROUP RR MEDICARE
FL274966100Medicaid
FLU6994XMedicare PIN
FLU6994WMedicare PIN
FLU6994VMedicare PIN
I49903Medicare UPIN
FLU6994YMedicare PIN
FL274966100Medicaid