Organization
DR. REZA GHASSEMI, D.C., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA GHASSEMI D.C. (PRESIDENT)
(727) 519-7443
Entity
Organization
Contact information
Practice address
5625 4TH ST N, SUITE 2B, ST PETERSBURG, FL 33703-2260
(727) 519-7443
Mailing address
5625 4TH ST N, SUITE 2B, ST PETERSBURG, FL 33703-2260
(727) 519-7443
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9274
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002090200
—
FL
Enumeration date
01/11/2014
Last updated
01/11/2014
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