Healthcare Provider Details

I. General information

NPI: 1245204833
Provider Name (Legal Business Name): G. M. RAMAPPA, M.D., F.A.A.P., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12136 COBBLESTONE DR
HUDSON FL
34667-2432
US

IV. Provider business mailing address

12136 COBBLESTONE DR
HUDSON FL
34667-2432
US

V. Phone/Fax

Practice location:
  • Phone: 727-863-5474
  • Fax: 727-868-0312
Mailing address:
  • Phone: 727-863-5474
  • Fax: 727-868-0312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. REDA AWAD
Title or Position: PRESIDENT
Credential: MD
Phone: 727-863-5474