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1457361180

NPI Code Detail

MEDICARE: DR. RAMEL FAILMA MD

MEDICARE: DR. RAMEL FAILMA MD

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	207P00000X	Emergency Medicine Physician	ME0095073	FL
2	207Q00000X	Family Medicine Physician	ME95073	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00683809	OTHER	FL	RR MEDICARE
3	DN5565	OTHER	FL	GROUP RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	56301	OTHER	FL	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457361180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMEL FAILMA MD

Provider Business Mailing Address
First Line	:	3401 CAPITAL CIR NE
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-3711
Country	:	US
Telephone Number	:	850-386-2266
Fax Number	:	850-701-0885

Provider Business Practice Location Address
First Line	:	555 N BYRON BUTLER PKWY
Second Line	:
City	:	PERRY
State	:	FL
Zip	:	32347-2315
Country	:	US
Telephone Number	:	850-223-5400
Fax Number	:	850-223-5401

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	03/13/2018

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Directions to “ DR. RAMEL FAILMA MD” Practice Location

Language	Start Address	Practice Location

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