Provider Demographics
NPI:1104888106
Name:PARRIS-RAMIE, ISABEL MARIA (DO)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:MARIA
Last Name:PARRIS-RAMIE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:PARRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:2101 NORTHSIDE DR UNIT 702
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-3687
Mailing Address - Country:US
Mailing Address - Phone:850-770-3208
Mailing Address - Fax:850-770-3215
Practice Address - Street 1:2101 NORTHSIDE DR UNIT 702
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-3687
Practice Address - Country:US
Practice Address - Phone:850-785-0040
Practice Address - Fax:850-785-5717
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS008023207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL260042100Medicaid
FLG89370Medicare UPIN
FL260042100Medicaid