Provider Demographics
NPI:1124397955
Name:RAMOS, ADDANILKA Y (LMT)
Entity type:Individual
Prefix:
First Name:ADDANILKA
Middle Name:Y
Last Name:RAMOS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6105 MEMORIAL HWY
Mailing Address - Street 2:SUITE A-10
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-4597
Mailing Address - Country:US
Mailing Address - Phone:813-410-2457
Mailing Address - Fax:813-200-3575
Practice Address - Street 1:6105 MEMORIAL HWY
Practice Address - Street 2:SUITE A-10
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-4597
Practice Address - Country:US
Practice Address - Phone:813-410-2457
Practice Address - Fax:813-200-3575
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA42902173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist