Healthcare Provider Details

I. General information

NPI: 1588573273
Provider Name (Legal Business Name): STEPHINE RAMSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1621 MAIN ST
CHIPLEY FL
32428-5992
US

IV. Provider business mailing address

1563 BETHLEHEM CHURCH DR
BONIFAY FL
32425-6839
US

V. Phone/Fax

Practice location:
  • Phone: 850-638-3214
  • Fax: 850-638-7797
Mailing address:
  • Phone: 850-768-1363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License NumberDO7164
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: