=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225231004
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EILEEN M RAMSARAN M.D., P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/07/2007
-----------------------------------------------------
Last Update Date | 02/14/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13899 BISCAYNE BLVD SUITE 132
-----------------------------------------------------
City | NORTH MIAMI BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33181-1600
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-681-1050
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 680158
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33168-0158
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-681-1050
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRES
-----------------------------------------------------
Name | EILEEN M RAMSARAN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 305-681-1050
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | ME0068966
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------