MEDICARE: DR. RAMSIS FELIPE OLAZAGASTI LEDEE MD

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	208D00000X	General Practice Physician	ACN1136	FL

General Provider Information

NPI Number	:	1801855994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMSIS FELIPE OLAZAGASTI LEDEE MD

Provider Business Mailing Address
First Line	:	425 W COLONIAL DR STE 303
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6863
Country	:	US
Telephone Number	:	321-332-6947
Fax Number	:	407-286-4515

Provider Business Practice Location Address
First Line	:	2185 CHENEY HWY
Second Line	:
City	:	TITUSVILLE
State	:	FL
Zip	:	32780-6700
Country	:	US
Telephone Number	:	321-269-9800
Fax Number	:	321-269-7082

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

Provider Enumeration Date	:	03/20/2006
Last Update Date	:	05/16/2024

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