Healthcare Provider Details

I. General information

NPI: 1922346816
Provider Name (Legal Business Name): JAMES P DESMARAIS APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2013
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2506 W VIRGINIA AVE STE D
TAMPA FL
33607-6332
US

IV. Provider business mailing address

407 LINCOLN RD STE 6D
MIAMI BEACH FL
33139-3023
US

V. Phone/Fax

Practice location:
  • Phone: 813-902-8600
  • Fax: 813-902-8800
Mailing address:
  • Phone: 818-902-8600
  • Fax: 813-902-8800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9241861
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: