Healthcare Provider Details

I. General information

NPI: 1750853107
Provider Name (Legal Business Name): RAMANDA MARJORIE LEE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2018
Last Update Date: 05/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10720 CARIBBEAN BLVD STE 420
CUTLER BAY FL
33189-1244
US

IV. Provider business mailing address

6100 BLUE LAGOON DR STE 400
MIAMI FL
33126-2080
US

V. Phone/Fax

Practice location:
  • Phone: 305-774-3300
  • Fax:
Mailing address:
  • Phone: 305-398-6100
  • Fax: 305-757-2387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9357403
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: