MEDICARE: MR. FRANCISCO V RAMIREZ III PT

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	225100000X	Physical Therapist	PT007714	GA
2	225100000X	Physical Therapist	PT18680	FL

General Provider Information

NPI Number	:	1295804649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANCISCO V RAMIREZ III PT

Provider Business Mailing Address
First Line	:	3657 CORTEZ RD W STE 110
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34210-3171
Country	:	US
Telephone Number	:	941-426-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	2530 BOBCAT VILLAGE CENTER RD UNIT C
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34288
Country	:	US
Telephone Number	:	941-426-7400
Fax Number	:

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

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	12/03/2018

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