Provider Demographics
NPI:1649266222
Name:RAMIREZ, JOHN DEWEY (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:DEWEY
Last Name:RAMIREZ
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:PO BOX 917770
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-0001
Mailing Address - Country:US
Mailing Address - Phone:813-974-2201
Mailing Address - Fax:813-974-4325
Practice Address - Street 1:509 S ARMENIA AVE
Practice Address - Street 2:STE 200
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3395
Practice Address - Country:US
Practice Address - Phone:813-353-1515
Practice Address - Fax:813-353-0865
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0050457207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL02956OtherBLUE CROSS BLUE SHIELD
FL045699300Medicaid
FL02956OtherBLUE CROSS BLUE SHIELD
FL02956Medicare ID - Type Unspecified
FL02956RMedicare PIN