Provider Demographics
NPI:1720096647
Name:HUANG-RAMIREZ, PEARL S (MD)
Entity Type:Individual
Prefix:
First Name:PEARL
Middle Name:S
Last Name:HUANG-RAMIREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1600 BUDINGER AVE STE D
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-6005
Mailing Address - Country:US
Mailing Address - Phone:407-892-3387
Mailing Address - Fax:407-892-7297
Practice Address - Street 1:1300 KEVSTIN DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-5843
Practice Address - Country:US
Practice Address - Phone:321-442-1214
Practice Address - Fax:321-442-1215
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2018-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME83477207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL262420600Medicaid
H45029Medicare UPIN