Healthcare Provider Details

I. General information

NPI: 1780248021
Provider Name (Legal Business Name): BHUPAUL RAMSUCHIT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2019
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1335 SLIGH BLVD STE 200
ORLANDO FL
32806-3901
US

IV. Provider business mailing address

1335 SLIGH BLVD STE 200
ORLANDO FL
32806-3901
US

V. Phone/Fax

Practice location:
  • Phone: 407-649-6884
  • Fax: 407-245-7059
Mailing address:
  • Phone: 407-649-6884
  • Fax: 407-245-7059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME182642
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberME182642
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberV8739
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: