MEDICARE: ADDANILKA Y RAMOS LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	173C00000X	Reflexologist	MA42902	FL

General Provider Information

NPI Number	:	1124397955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADDANILKA Y RAMOS LMT

Provider Business Mailing Address
First Line	:	6105 MEMORIAL HWY
Second Line	:	SUITE A-10
City	:	TAMPA
State	:	FL
Zip	:	33615-4597
Country	:	US
Telephone Number	:	813-410-2457
Fax Number	:	813-200-3575

Provider Business Practice Location Address
First Line	:	6105 MEMORIAL HWY
Second Line	:	SUITE A-10
City	:	TAMPA
State	:	FL
Zip	:	33615-4597
Country	:	US
Telephone Number	:	813-410-2457
Fax Number	:	813-200-3575

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2011
Last Update Date	:	12/22/2011

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