Provider Demographics
NPI:1962263905
Name:RAMIDA, OLGA MARIA (PA)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:MARIA
Last Name:RAMIDA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7808 SW 7TH CT
Mailing Address - Street 2:
Mailing Address - City:NORTH LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-2219
Mailing Address - Country:US
Mailing Address - Phone:305-300-5564
Mailing Address - Fax:
Practice Address - Street 1:7808 SW 7TH CT
Practice Address - Street 2:
Practice Address - City:NORTH LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068-2219
Practice Address - Country:US
Practice Address - Phone:305-300-5564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-17
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPPA700363A00000X
PR1864-PA363A00000X
AZ10412363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant