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Individual

LEO B RAMIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
951 PRIM AVE, SUITE 18, GRACEVILLE, FL 32440-2505
(850) 360-5016
Mailing address
2813 MAGNOLIA BLOSSOM LN, MARIANNA, FL 32446-6395
(850) 209-3007

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT10317
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
FL
Enumeration date
05/22/2006
Last updated
12/26/2014
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