MEDICARE: ISABEL MARIA PARRIS-RAMIE D.O.

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	207Q00000X	Family Medicine Physician	OS008023	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104888106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABEL MARIA PARRIS-RAMIE D.O.

Provider Business Mailing Address
First Line	:	2101 NORTHSIDE DR UNIT 702
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-3687
Country	:	US
Telephone Number	:	850-770-3208
Fax Number	:	850-770-3215

Provider Business Practice Location Address
First Line	:	2101 NORTHSIDE DR UNIT 702
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-3687
Country	:	US
Telephone Number	:	850-785-0040
Fax Number	:	850-785-5717

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

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	11/19/2020

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