Healthcare Provider Details

I. General information

NPI: 1346685286
Provider Name (Legal Business Name): RAMI ABUKAMIL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2013
Last Update Date: 03/18/2024
Certification Date: 03/18/2024
Deactivation Date: 03/27/2014
Reactivation Date: 08/14/2014

III. Provider practice location address

208 PARK PLACE BLVD
KISSIMMEE FL
34741-2344
US

IV. Provider business mailing address

208 PARK PLACE BLVE
KISSIMMEE FL
34741
US

V. Phone/Fax

Practice location:
  • Phone: 407-846-0023
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101280054
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35.130057
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME151662
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number35.130057
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number18211
License Number StateNV
# 6
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License NumberME151662
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code2084P0301X
TaxonomyBrain Injury Medicine (Psychiatry & Neurology) Physician
License NumberME151662
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberME151662
License Number StateFL
# 9
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number18211
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: