Provider Demographics
NPI:1003192030
Name:RAMIREZ, CARMELO III (DC)
Entity Type:Individual
Prefix:DR
First Name:CARMELO
Middle Name:
Last Name:RAMIREZ
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 SEMINOLE BLVD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-3620
Mailing Address - Country:US
Mailing Address - Phone:727-581-2774
Mailing Address - Fax:727-581-3199
Practice Address - Street 1:405 SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3620
Practice Address - Country:US
Practice Address - Phone:727-581-2774
Practice Address - Fax:727-581-3199
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-21
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10388111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor