Healthcare Provider Details

I. General information

NPI: 1316327737
Provider Name (Legal Business Name): SAPNA RAMA D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2015
Last Update Date: 09/05/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E COPELAND DR FL 1
ORLANDO FL
32806-2101
US

IV. Provider business mailing address

125 W COPELAND DR
ORLANDO FL
32806-2101
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-3090
  • Fax: 321-843-2267
Mailing address:
  • Phone: 321-841-7090
  • Fax: 321-843-2267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number390200000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS16541
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: