Provider Demographics
NPI:1730415530
Name:DESRAMEAUX, BILY
Entity type:Individual
Prefix:
First Name:BILY
Middle Name:
Last Name:DESRAMEAUX
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14030 BISCAYNE BLVD APT 614
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33181-1529
Mailing Address - Country:US
Mailing Address - Phone:305-919-9306
Mailing Address - Fax:
Practice Address - Street 1:14030 BISCAYNE BLVD 614
Practice Address - Street 2:
Practice Address - City:N. MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-1529
Practice Address - Country:US
Practice Address - Phone:305-919-9306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9281528163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse