Provider Demographics
NPI:1487999025
Name:RAMAANU-PORTER, AMINA (ARNP)
Entity type:Individual
Prefix:MRS
First Name:AMINA
Middle Name:
Last Name:RAMAANU-PORTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 SW 90TH LN
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-9576
Mailing Address - Country:US
Mailing Address - Phone:352-209-4366
Mailing Address - Fax:
Practice Address - Street 1:1111 NE 25TH AVE STE 104
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-5665
Practice Address - Country:US
Practice Address - Phone:352-209-4366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9186000363L00000X, 363LP2300X
FLARNP9186000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9186000OtherAPRN LICENSE
FLMR4871376OtherDEA