Healthcare Provider Details

I. General information

NPI: 1164996823
Provider Name (Legal Business Name): GEMINA RAMEAU PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GEMINA RAMEAU CPNP-PC

II. Dates (important events)

Enumeration Date: 01/16/2019
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 NW 33RD AVE STE 200-1030
FORT LAUDERDALE FL
33309-6374
US

IV. Provider business mailing address

5200 NW 33RD AVE STE 200-1030
FORT LAUDERDALE FL
33309-6374
US

V. Phone/Fax

Practice location:
  • Phone: 754-325-1547
  • Fax: 754-238-0340
Mailing address:
  • Phone: 754-325-1547
  • Fax: 754-238-0340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11000663
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number11000663
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: