Healthcare Provider Details

I. General information

NPI: 1841865599
Provider Name (Legal Business Name): VINCE IAN RAMOS MARTINEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7003 NW 11TH PL STE 6
GAINESVILLE FL
32605-3146
US

IV. Provider business mailing address

7003 NW 11TH PL STE 6
GAINESVILLE FL
32605-3146
US

V. Phone/Fax

Practice location:
  • Phone: 352-554-5000
  • Fax:
Mailing address:
  • Phone: 352-554-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME178443
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: