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Individual

DR. FABIAN ALONSO RAMOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 3RD AVE W, SUITE 110, BRADENTON, FL 34205-8638
(941) 708-9555
(941) 708-5465
Mailing address
100 3RD AVE W, SUITE 110, BRADENTON, FL 34205-8638
(941) 708-9555
(941) 708-5465

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME71496
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME71496
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
43-1962888
TAX IDENTIFICATION NUMBER
FL
01
ME71496
MEDICAL LICENSE
FL
Enumeration date
03/31/2006
Last updated
04/12/2011
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