Organization
DMR PODIATRIC MEDICINE & SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIQUE M RAMEAU DPM (MANAGER)
(754) 422-6750
Entity
Organization
Contact information
Practice address
1725 SW 101 WAY, MIRAMAR, FL 33025-6537
(754) 422-6750
(754) 367-7750
Mailing address
1725 SW 101ST WAY, MIRAMAR, FL 33025-6537
(754) 422-6750
(954) 367-7750
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002849500
—
FL
Enumeration date
11/08/2010
Last updated
06/28/2013
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