Healthcare Provider Details

I. General information

NPI: 1982884789
Provider Name (Legal Business Name): JAMES E LEMIRE MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2007
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 SW HIGHWAY 200 STE 301
OCALA FL
34481-9648
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: JAMES E LEMIRE
Title or Position: OWNER
Credential: MD
Phone: 352-291-9459