Provider Demographics
NPI:1437822921
Name:TEIMOURI, RAMIN SAUM (DC)
Entity Type:Individual
Prefix:DR
First Name:RAMIN
Middle Name:SAUM
Last Name:TEIMOURI
Suffix:
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 1:130 INTERLACHEN RD STE D
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-1994
Mailing Address - Country:US
Mailing Address - Phone:321-622-6778
Mailing Address - Fax:321-622-5974
Practice Address - Street 1:130 INTERLACHEN RD STE D
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-1994
Practice Address - Country:US
Practice Address - Phone:321-622-6778
Practice Address - Fax:321-622-5974
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13516111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor