Healthcare Provider Details

I. General information

NPI: 1114011715
Provider Name (Legal Business Name): RAMAPUR VIJAYAKUMAR C.P.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7305 N. MILITARY TRAIL
WEST PALM BEACH FL
33410
US

IV. Provider business mailing address

2601 SANDY CAY
WEST PALM BEACH FL
33411
US

V. Phone/Fax

Practice location:
  • Phone: 561-422-5560
  • Fax: 561-422-8442
Mailing address:
  • Phone: 561-333-8064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: