MEDICARE: RAMONA LOUTOS ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	2154002	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003356916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMONA LOUTOS ARNP

Provider Business Mailing Address
First Line	:	1729 SE DOMINIC AVE
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-5815
Country	:	US
Telephone Number	:	772-359-1398
Fax Number	:	888-221-8008

Provider Business Practice Location Address
First Line	:	1729 SE DOMINIC AVE
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34952-5815
Country	:	US
Telephone Number	:	772-359-1398
Fax Number	:	888-221-8008

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2017
Last Update Date	:	02/27/2017

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Directions to “ RAMONA LOUTOS ARNP” Practice Location

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