Healthcare Provider Details

I. General information

NPI: 1649986175
Provider Name (Legal Business Name): EVELYN MARGARITA RAMIREZ PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2023
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7520 NW 5TH ST STE 200G
PLANTATION FL
33317-1613
US

IV. Provider business mailing address

7520 NW 5TH ST STE 200G
PLANTATION FL
33317-1613
US

V. Phone/Fax

Practice location:
  • Phone: 954-583-4324
  • Fax: 561-349-5060
Mailing address:
  • Phone: 954-583-4324
  • Fax: 561-349-5060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY11999
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY11999
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: