Provider Demographics
NPI:1144265646
Name:NEIMAN, JAMES CHRIS (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:CHRIS
Last Name:NEIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9555 SEMINOLE BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33772-2562
Mailing Address - Country:US
Mailing Address - Phone:727-319-9111
Mailing Address - Fax:727-319-3722
Practice Address - Street 1:9555 SEMINOLE BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-2562
Practice Address - Country:US
Practice Address - Phone:727-319-9111
Practice Address - Fax:727-319-3722
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 59022207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104542OtherAVMED PROVIDER NUMBER
FL4675763OtherAETNA PROVIDER NUMBER
FL11922Medicare ID - Type Unspecified
FL104542OtherAVMED PROVIDER NUMBER