Healthcare Provider Details
I. General information
NPI: 1174239057
Provider Name (Legal Business Name): RAM QUALITY HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/25/2023
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3936 S SEMORAN BLVD STE 270
ORLANDO FL
32822-4015
US
IV. Provider business mailing address
3936 S SEMORAN BLVD STE 270
ORLANDO FL
32822-4015
US
V. Phone/Fax
- Phone: 407-813-4324
- Fax:
- Phone: 407-813-4324
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROSELINE
P
SAINT-FORT
Title or Position: NURSE PRACTITIONER , FAMILY
Credential: MSN, APRN, FNP-BC
Phone: 407-813-4324