Healthcare Provider Details

I. General information

NPI: 1801855994
Provider Name (Legal Business Name): RAMSIS FELIPE OLAZAGASTI LEDEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 E CENTRAL AVE STE 100
WINTER HAVEN FL
33880-6319
US

IV. Provider business mailing address

425 W COLONIAL DR STE 303
ORLANDO FL
32804-6863
US

V. Phone/Fax

Practice location:
  • Phone: 863-619-5999
  • Fax: 863-619-5995
Mailing address:
  • Phone: 321-332-6947
  • Fax: 407-286-4515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberACN1136
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: