Provider Demographics
NPI:1386913028
Name:HERMANSA, RAMONA LEE (RSA, CSA)
Entity type:Individual
Prefix:MS
First Name:RAMONA
Middle Name:LEE
Last Name:HERMANSA
Suffix:
Gender:F
Credentials:RSA, CSA
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:LEE
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSA
Mailing Address - Street 1:834 OAK POND DR
Mailing Address - Street 2:
Mailing Address - City:OSPREY
Mailing Address - State:FL
Mailing Address - Zip Code:34229-8997
Mailing Address - Country:US
Mailing Address - Phone:217-621-1979
Mailing Address - Fax:866-563-3374
Practice Address - Street 1:834 OAK POND DR
Practice Address - Street 2:
Practice Address - City:OSPREY
Practice Address - State:FL
Practice Address - Zip Code:34229
Practice Address - Country:US
Practice Address - Phone:217-621-1979
Practice Address - Fax:713-779-9813
Is Sole Proprietor?:No
Enumeration Date:2011-12-27
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL23800147363AS0400X
363AS0400X, 363AS0400X
IL238.00147246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist