Provider Demographics
NPI:1972985455
Name:ORGANIC TOUCH CHIROPRACTIC CENTER, LLC
Entity type:Organization
Organization Name:ORGANIC TOUCH CHIROPRACTIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSCIAN
Authorized Official - Prefix:
Authorized Official - First Name:CARMELO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:727-279-7100
Mailing Address - Street 1:4890 122ND AVE N
Mailing Address - Street 2:STE 2
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33762-4411
Mailing Address - Country:US
Mailing Address - Phone:727-279-7100
Mailing Address - Fax:
Practice Address - Street 1:4890 122ND AVE N
Practice Address - Street 2:STE 2
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33762-4411
Practice Address - Country:US
Practice Address - Phone:727-279-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-22
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10388111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty