MEDICARE: NAVID RAMSI DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN 21901	FL

General Provider Information

NPI Number	:	1518318534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAVID RAMSI DMD

Provider Business Mailing Address
First Line	:	4310 W SPRUCE ST
Second Line	:	APT 442
City	:	TAMPA
State	:	FL
Zip	:	33607-4146
Country	:	US
Telephone Number	:	954-882-5857
Fax Number	:

Provider Business Practice Location Address
First Line	:	12813 N DALE MABRY HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-2803
Country	:	US
Telephone Number	:	813-280-0687
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2016
Last Update Date	:	08/20/2016

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