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NPI Code Detail

MEDICARE: SHANNON RAMIREZ DO

MEDICARE: SHANNON RAMIREZ DO
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208100000XPhysical Medicine & Rehabilitation PhysicianOS17582FL

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 : 1730617242
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON RAMIREZ DO
Provider Business Mailing Address
First Line : 1070 MONTGOMERY RD # 401
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-7420
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 831 S STATE ROAD 434
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-3502
Country : US
Telephone Number : 407-587-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2017
Last Update Date : 10/31/2024

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Directions to “ SHANNON RAMIREZ DO” Practice Location

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