Healthcare Provider Details

I. General information

NPI: 1255904744
Provider Name (Legal Business Name): ANNIA BEATRIZ RAMIREZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2021
Last Update Date: 06/27/2022
Certification Date: 06/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 SUNRISE LAKES BLVD # 55-108
SUNRISE FL
33322-1590
US

IV. Provider business mailing address

8300 SUNRISE LAKES BLVD # 55-108
SUNRISE FL
33322-1590
US

V. Phone/Fax

Practice location:
  • Phone: 954-901-6839
  • Fax:
Mailing address:
  • Phone: 954-901-6839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11013892
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number11013892
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: