Provider Demographics
NPI:1184912891
Name:RAMOS, EMELINE (MD)
Entity type:Individual
Prefix:MISS
First Name:EMELINE
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 W FAIRBANKS AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4511
Mailing Address - Country:US
Mailing Address - Phone:407-539-0311
Mailing Address - Fax:407-539-0360
Practice Address - Street 1:2325 W FAIRBANKS AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4511
Practice Address - Country:US
Practice Address - Phone:407-539-0311
Practice Address - Fax:407-539-0360
Is Sole Proprietor?:No
Enumeration Date:2011-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.128560208000000X
FLME 127225208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics