MEDICARE: MRS. FERNANDA D RAMOS M.S., CCC-SLP

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	235Z00000X	Speech-Language Pathologist	SA13665	FL

General Provider Information

NPI Number	:	1518270545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FERNANDA D RAMOS M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	2076 TIGRIS DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-5762
Country	:	US
Telephone Number	:	203-550-8408
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 FOREST HILL BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5813
Country	:	US
Telephone Number	:	561-434-8000
Fax Number	:

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

Provider Enumeration Date	:	07/19/2010
Last Update Date	:	12/02/2016

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