MEDICARE: AGELESS HEALTH & PAIN MANAGEMENT, PLLC

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	261QH0100X	Health Service Clinic/Center
2	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1609746577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGELESS HEALTH & PAIN MANAGEMENT, PLLC

Provider Business Mailing Address
First Line	:	4104 MILLENIA BLVD STE 111
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-6422
Country	:	US
Telephone Number	:	407-205-6557
Fax Number	:	407-264-8890

Provider Business Practice Location Address
First Line	:	4104 MILLENIA BLVD STE 111
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-6422
Country	:	US
Telephone Number	:	407-205-6557
Fax Number	:	407-264-8890

Authorized Official
Title or Position	:	PHYSICIAN OWNER
Name	:	DR. RYAN RAMOS
Credential	:	MD
Telephone Number	:	201-887-4788

Provider Enumeration Date	:	11/06/2025
Last Update Date	:	11/06/2025

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