Healthcare Provider Details
I. General information
NPI: 1740243567
Provider Name (Legal Business Name): ARNOLD M RAMIREZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/11/2006
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
602 S HOWARD AVE
TAMPA FL
33606-2413
US
IV. Provider business mailing address
38135 MARKET SQ
ZEPHYRHILLS FL
33542-7505
US
V. Phone/Fax
- Phone: 813-253-2406
- Fax: 813-251-4290
- Phone: 813-528-4975
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | ME71434 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QS0010X |
| Taxonomy | Sports Medicine (Family Medicine) Physician |
| License Number | ME71434 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XX0005X |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | ME71434 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: