MEDICARE: MS. KAREN SELENA RAMIREZ PTA

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	208100000X	Physical Medicine & Rehabilitation Physician	PTA31069	FL

General Provider Information

NPI Number	:	1992373138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN SELENA RAMIREZ PTA

Provider Business Mailing Address
First Line	:	6528 BOICE ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-5812
Country	:	US
Telephone Number	:	407-446-2559
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 BURNS RD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-5207
Country	:	US
Telephone Number	:	561-627-4427
Fax Number	:	561-627-2798

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

Provider Enumeration Date	:	06/15/2021
Last Update Date	:	06/15/2021

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