Healthcare Provider Details

I. General information

NPI: 1396313177
Provider Name (Legal Business Name): OSCAR RAMOS PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: OSCAR RAMOS GONZALEZ

II. Dates (important events)

Enumeration Date: 06/16/2021
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3041 RIDGEVALE CIR
VALRICO FL
33596-5660
US

IV. Provider business mailing address

3041 RIDGEVALE CIR
VALRICO FL
33596-5660
US

V. Phone/Fax

Practice location:
  • Phone: 561-709-8501
  • Fax: 561-916-6078
Mailing address:
  • Phone: 561-709-8501
  • Fax: 561-916-6078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11027713
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9682247
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: