Healthcare Provider Details

I. General information

NPI: 1427165448
Provider Name (Legal Business Name): REUBEN RAMPHAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: REUBEN RAMPHAL

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 01/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER ROAD BOX 100371
GAINSVILLE FL
32610-0371
US

IV. Provider business mailing address

PO BOX 13833
PHILADELPHIA PA
19101-3833
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-7999
  • Fax:
Mailing address:
  • Phone: 352-273-6818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME33155
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: