Provider Demographics
NPI:1154579951
Name:KYRILLOS, RAMONA (MD)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:KYRILLOS
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 1:685 PALM SPRINGS DR STE 2A
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-7896
Mailing Address - Country:US
Mailing Address - Phone:407-830-5577
Mailing Address - Fax:407-830-4164
Practice Address - Street 1:685 PALM SPRINGS DR STE 2A
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-7896
Practice Address - Country:US
Practice Address - Phone:407-830-5577
Practice Address - Fax:407-830-4164
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME121895207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015345400Medicaid
FLMR067OtherMEDICARE
FL14ZA0OtherBCBS OF FLORIDA