Provider Demographics
NPI:1649649195
Name:RUMMEL, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:RUMMEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13450 NW 104TH TER
Mailing Address - Street 2:
Mailing Address - City:ALACHUA
Mailing Address - State:FL
Mailing Address - Zip Code:32615-5608
Mailing Address - Country:US
Mailing Address - Phone:352-757-2711
Mailing Address - Fax:352-744-0415
Practice Address - Street 1:13450 NW 104TH TER
Practice Address - Street 2:
Practice Address - City:ALACHUA
Practice Address - State:FL
Practice Address - Zip Code:32615-5608
Practice Address - Country:US
Practice Address - Phone:352-757-2699
Practice Address - Fax:352-744-0415
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-15
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9263896363LF0000X
FLAPRN9263896363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily