Provider Demographics
NPI:1205666930
Name:RAMOS MERAYOS, LESTER YANIER (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:LESTER
Middle Name:YANIER
Last Name:RAMOS MERAYOS
Suffix:
Gender:M
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 LAKE VILLA WAY
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-9337
Mailing Address - Country:US
Mailing Address - Phone:321-316-9610
Mailing Address - Fax:
Practice Address - Street 1:210 LAKE VILLA WAY
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-9337
Practice Address - Country:US
Practice Address - Phone:321-316-9610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11034725363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily