MEDICARE: GENESIS MICHELLE RAMIREZ

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	SZ13199	FL

General Provider Information

NPI Number	:	1659251213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENESIS MICHELLE RAMIREZ

Provider Business Mailing Address
First Line	:	771 IRONWOOD FLATS CIR APT 417
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-6388
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6508 GUNN HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-4022
Country	:	US
Telephone Number	:	816-963-6923
Fax Number	:

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

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	04/13/2026

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Directions to “ GENESIS MICHELLE RAMIREZ ” Practice Location

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