Healthcare Provider Details

I. General information

NPI: 1982055364
Provider Name (Legal Business Name): WILMA RAMOS CULI ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WILMA OLASIMAN RAMOS RN

II. Dates (important events)

Enumeration Date: 06/27/2016
Last Update Date: 11/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2377 DUNN AVE
JACKSONVILLE FL
32218-6983
US

IV. Provider business mailing address

2701 DALMATION LN E
JACKSONVILLE FL
32246-1868
US

V. Phone/Fax

Practice location:
  • Phone: 904-633-0700
  • Fax:
Mailing address:
  • Phone: 904-294-2969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9187628
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: