Bautista, Ramon Edmundo

Bautista, Ramon Edmundo is an individual health care provider with primary practice located at 580 W 8Th St Ufjp Neurology, Jacksonville FL 32209-6533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bautista, Ramon Edmundo can be contacted via phone (904) 244-3961.

Contact Information

Primary practice address
580 W 8Th St Ufjp Neurology Jacksonville FL 32209-6533
Phone: (904) 244-3961
Fax: (904) 244-3425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME82495 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 037951 Georgia

Profile Details

NPI number 1750359956
LBN Legal business name Bautista, Ramon Edmundo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 7th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750359956 NPPES
Georgia MEDICAID 000877016A
Georgia MEDICAID 2587718-00
Georgia MEDICAID 000877016C

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