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Individual

JENNIFER J RAMOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSFA

Contact information

Practice address
1581 SW BAYSHORE BLVD, PORT ST LUCIE, FL 34983
(561) 603-7564
Mailing address
1581 SW BAYSHORE BLVD, PORT ST LUCIE, FL 34983-2967
(561) 603-7564

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
165943
FL
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
05/12/2016
Last updated
05/25/2018
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