Provider Demographics
NPI:1811083686
Name:RATNER, JERALD H (MD)
Entity type:Individual
Prefix:
First Name:JERALD
Middle Name:H
Last Name:RATNER
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 1:9750 NW 33 ST.
Mailing Address - Street 2:SUITE 211
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065
Mailing Address - Country:US
Mailing Address - Phone:954-752-9450
Mailing Address - Fax:954-752-9888
Practice Address - Street 1:9750 NW 33 ST.
Practice Address - Street 2:SUITE 211
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065
Practice Address - Country:US
Practice Address - Phone:954-752-9450
Practice Address - Fax:954-752-9888
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00221762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL93174ZMedicare ID - Type UnspecifiedMCE
FLD60364Medicare UPIN