MEDICARE: SUNRISE INJURY CENTER

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	111N00000X	Chiropractor	CH8433	FL

General Provider Information

NPI Number	:	1659738714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNRISE INJURY CENTER

Provider Business Mailing Address
First Line	:	1037 W BUSCH BLVD.
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612
Country	:	US
Telephone Number	:	813-964-6868
Fax Number	:	813-402-2858

Provider Business Practice Location Address
First Line	:	1037 W BUSCH BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-7703
Country	:	US
Telephone Number	:	813-964-6868
Fax Number	:	813-402-2858

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RICARDO RAMOS
Credential	:	DC
Telephone Number	:	813-964-6868

Provider Enumeration Date	:	01/20/2016
Last Update Date	:	01/20/2016

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Directions to “SUNRISE INJURY CENTER ” Practice Location

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