Individual
WANDA RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 SW DALTON AVE, PORT ST LUCIE, FL 34953-2829
(407) 744-4080
Mailing address
1016 SW DALTON AVE, PORT ST LUCIE, FL 34953-2829
(407) 744-4080
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
2355S0801X
Speech-Language Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
593860
—
FL
Enumeration date
07/09/2008
Last updated
07/17/2025
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