Healthcare Provider Details

I. General information

NPI: 1972580397
Provider Name (Legal Business Name): JAMES E LEMIRE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 SW HIGHWAY 200 BUILDING 90
OCALA FL
34481-9612
US

IV. Provider business mailing address

9401 SW HIGHWAY 200 STE 301
OCALA FL
34481-9648
US

V. Phone/Fax

Practice location:
  • Phone: 352-291-9459
  • Fax: 352-291-9465
Mailing address:
  • Phone: 352-291-9459
  • Fax: 352-291-9465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME0074505
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: