Healthcare Provider Details

I. General information

NPI: 1396392486
Provider Name (Legal Business Name): MELISSA RAMOS SLP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2019
Last Update Date: 07/06/2020
Certification Date: 07/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8835 SW BONNEVILLE DR
STUART FL
34997-1206
US

IV. Provider business mailing address

8835 SW BONNEVILLE DR
STUART FL
34997-1206
US

V. Phone/Fax

Practice location:
  • Phone: 772-763-1232
  • Fax:
Mailing address:
  • Phone: 772-763-1232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. MELISSA GARCIA RAMOS
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 772-763-1232