Healthcare Provider Details

I. General information

NPI: 1548772676
Provider Name (Legal Business Name): RONMY ALBERTO OGANDO ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2017
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3580 LAKE WORTH RD
PALM SPRINGS FL
33461-4029
US

IV. Provider business mailing address

3580 LAKE WORTH RD
PALM SPRINGS FL
33461-4029
US

V. Phone/Fax

Practice location:
  • Phone: 561-425-5085
  • Fax: 561-425-5167
Mailing address:
  • Phone: 561-425-5085
  • Fax: 561-425-5167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9323174
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10170903
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: