Basic Information
Provider Information
NPI: 1740402965
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMOS
FirstName: SALVADOR
MiddleName: D.
NamePrefix: DR.
NameSuffix: II
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9401 SW HIGHWAY 200 BLDG 90
Address2:  
City: OCALA
State: FL
PostalCode: 344819612
CountryCode: US
TelephoneNumber: 3523681661
FaxNumber: 3528679794
Practice Location
Address1: 9401 SW HIGHWAY 200 BLDG 90
Address2:  
City: OCALA
State: FL
PostalCode: 34481
CountryCode: US
TelephoneNumber: 3523681661
FaxNumber: 3528679794
Other Information
ProviderEnumerationDate: 05/03/2007
LastUpdateDate: 08/09/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X03217KYN Allopathic & Osteopathic PhysiciansSurgery 
208600000XLL16403ORN Allopathic & Osteopathic PhysiciansSurgery 
208600000XOS11465FLY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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