Healthcare Provider Details

I. General information

NPI: 1730055831
Provider Name (Legal Business Name): SEPEHR MAJDINASAB D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7195 W OAKLAND PARK BLVD
LAUDERHILL FL
33313-1050
US

IV. Provider business mailing address

7195 W OAKLAND PARK BLVD
LAUDERHILL FL
33313-1050
US

V. Phone/Fax

Practice location:
  • Phone: 954-742-5265
  • Fax: 954-749-3197
Mailing address:
  • Phone: 386-299-8238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH15641
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: