Ramon Aviso, APRN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Lutz, FL
NPI 1003671652 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1003671652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11028188 (FL)
- Practice address
- 2814 Ridge Hollow LN
Lutz, FL 33559-8213 - Phone
- (813) 638-7735
- NPI assigned
- Feb 13, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2814 Ridge Hollow LN
Lutz, FL 33559-8213
3225 S Macdill Ave
Suite 129 385
Tampa, FL 33629-8171
3442 Cup Dr
Lakeland, FL 33803-5506
7465 E Osborn Rd
Scottsdale, AZ 85251-6590
Hospital & facility affiliations
- Magnet Home Health Care Services LLC
- Able Palms Home & Health Care Services Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240422001487 | FL | Practitioner - Nurse Practitioner | 3375982481 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11028188 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Wound Care, LLC | Current |
Accepting new patients | |
| Healnexxt Woundcare LLC | Current |
Accepting new patients |
Locations
211 E Main St
Lakeland, FL 33801
Phone (863) 216-8567
3225 S Macdill Ave
Ste 129385
Tampa, FL 33629
Phone (813) 505-5060
2203 N Lois Ave
Ste 814
Tampa, FL 33607
Phone (813) 505-5060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11028188 | FL | Yes |
Addresses
Primary practice location
2814 Ridge Hollow LN
Lutz, FL 33559-8213
Mailing address
2814 Ridge Hollow LN
Lutz, FL 33559-8213
Phone (813) 638-7735
Other providers in Lutz, FL
- At Talitha Cumi Home Care, Inc
- Atalia Fogel LMHC, PC, LLC
- Atalia Fogel-Bobo LMHC PC LLC
- Atlas Medical Services, Inc
- Randi Lee Austin
- Ayg Medical Transport Service LLC
- B&B Florida Eye Care PLLC
- B3 Sport LLC
- Back in Health Wellness Center LLC
- Back-Rubs to Go, Inc.
All providers in Lutz, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.