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NPI Code Detail

MEDICARE: KRISTIN NICHOLE RAMOS PA-C

MEDICARE: KRISTIN NICHOLE RAMOS PA-C
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
1363A00000XPhysician AssistantPA9111763FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700356201
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN NICHOLE RAMOS PA-C
Provider Business Mailing Address
First Line : 8204 MERIDIAN RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-8257
Country : US
Telephone Number : 904-214-6935
Fax Number :
Provider Business Practice Location Address
First Line : 8093 NORMANDY BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32221-6646
Country : US
Telephone Number : 999-999-9999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2018
Last Update Date : 05/07/2025

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