Healthcare Provider Details

I. General information

NPI: 1003549775
Provider Name (Legal Business Name): JOSEPH RAMOS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19125 US 41 N
LUTZ FL
33549
US

IV. Provider business mailing address

5623 MIDNIGHT PASS RD APT 616
SARASOTA FL
34242-1725
US

V. Phone/Fax

Practice location:
  • Phone: 813-949-4568
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN26980
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: