MEDICARE: MARK RAMSEY M.D.

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	207R00000X	Internal Medicine Physician	ME76559	FL

General Provider Information

NPI Number	:	1174550354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK RAMSEY M.D.

Provider Business Mailing Address
First Line	:	538 NE 7TH AVE
Second Line	:	#2
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-1227
Country	:	US
Telephone Number	:	561-289-1842
Fax Number	:

Provider Business Practice Location Address
First Line	:	1117 E HALLANDALE BEACH BLVD
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4488
Country	:	US
Telephone Number	:	954-454-6300
Fax Number	:

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

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	07/08/2007

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