Provider Demographics
NPI:1497989198
Name:NAMIUCHI, TEPPEI (AP)
Entity Type:Individual
Prefix:DR
First Name:TEPPEI
Middle Name:
Last Name:NAMIUCHI
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 E FOWLER AVE STE K
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-5400
Mailing Address - Country:US
Mailing Address - Phone:813-987-3555
Mailing Address - Fax:
Practice Address - Street 1:1511 E FOWLER AVE STE K
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-5400
Practice Address - Country:US
Practice Address - Phone:813-987-3555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1832171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist