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NPI Code Detail

MEDICARE: GEISEL RAMOS

MEDICARE: GEISEL RAMOS
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
1106S00000XBehavior TechnicianRBT-20-121350FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760089973
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEISEL RAMOS
Provider Business Mailing Address
First Line : 2721 WILDER RESERVE DR
Second Line :
City : PLANT CITY
State : FL
Zip : 33566-7575
Country : US
Telephone Number : 813-606-2286
Fax Number :
Provider Business Practice Location Address
First Line : 504 E BAKER ST STE 1
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-3558
Country : US
Telephone Number : 813-704-6297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2020
Last Update Date : 01/17/2025

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Directions to “ GEISEL RAMOS ” Practice Location

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