Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH10388 | FL |
NPI | 1003192030 |
---|---|
Provider Name | Dr. Carmelo Ramirez III |
First Address | Largo, FL 33770-3620 |
Second Address | Largo, FL 33770-3620 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2011 |
Last Update Date | 21/10/2011 |