MEDICARE: ALLAN RAMDEEN

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	225200000X	Physical Therapy Assistant

General Provider Information

NPI Number	:	1568010916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLAN RAMDEEN

Provider Business Mailing Address
First Line	:	9651 NW 51ST ST
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-2461
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9651 NW 51ST ST
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-2461
Country	:	US
Telephone Number	:	954-464-7363
Fax Number	:

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

Provider Enumeration Date	:	08/29/2019
Last Update Date	:	08/29/2019

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Directions to “ ALLAN RAMDEEN ” Practice Location

Language	Start Address	Practice Location

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