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General NPI Number Information
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NPI Number | 1831142942
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Entity Type | Organization
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Legal Business Name | RAMESH KUMAR M.D. P.A.
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 12/22/2009
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Provider Practice Location Address
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Address Line | 1115 N PARROTT AVE
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City | OKEECHOBEE
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State | FL
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Zip | 34972-2128
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Country | US
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Telephone | 863-467-9500
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Fax | 863-467-6544
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Provider Business Mailing Address
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Address Line | PO BOX 882341
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City | PORT ST LUCIE
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State | FL
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Zip | 34988-2341
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Country | US
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Telephone | 863-467-9500
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Fax | 763-467-6544
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. RAMESH KUMAR
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Credential | M.D.
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Telephone | 863-467-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME64816
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License Number State | FL
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