MEDICARE: MRS. AMINA RAMAANU-PORTER 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	363L00000X	Nurse Practitioner	APRN9186000	FL
2	363LP2300X	Primary Care Nurse Practitioner	APRN9186000	FL
3	363LF0000X	Family Nurse Practitioner	ARNP9186000	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9186000	OTHER	FL	APRN LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487999025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMINA RAMAANU-PORTER ARNP

Provider Business Mailing Address
First Line	:	5201 SW 90TH LN
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34476-9576
Country	:	US
Telephone Number	:	352-209-4366
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 NE 25TH AVE STE 104
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-5665
Country	:	US
Telephone Number	:	352-209-4366
Fax Number	:

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

Provider Enumeration Date	:	12/09/2012
Last Update Date	:	03/07/2023

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