Healthcare Provider Details

I. General information

NPI: 1346223989
Provider Name (Legal Business Name): MICHELE L. RAMIREZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 GOODLETTE ROAD SUITE 200 2ND FLOOR
NAPLES FL
34102-5644
US

IV. Provider business mailing address

PO BOX 749495
ATLANTA GA
30374-9495
US

V. Phone/Fax

Practice location:
  • Phone: 239-231-7260
  • Fax: 239-567-3667
Mailing address:
  • Phone: 855-963-2100
  • Fax: 239-236-2775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberME85039
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberME85039
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: