MEDICARE: JAMES CHRIS NEIMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	ME 59022	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	104542	OTHER	FL	AVMED PROVIDER NUMBER
2	4675763	OTHER	FL	AETNA PROVIDER NUMBER

General Provider Information

NPI Number	:	1144265646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES CHRIS NEIMAN MD

Provider Business Mailing Address
First Line	:	9555 SEMINOLE BLVD
Second Line	:	SUITE 209
City	:	SEMINOLE
State	:	FL
Zip	:	33772-2562
Country	:	US
Telephone Number	:	727-319-9111
Fax Number	:	727-319-3722

Provider Business Practice Location Address
First Line	:	9555 SEMINOLE BLVD
Second Line	:	SUITE 209
City	:	SEMINOLE
State	:	FL
Zip	:	33772-2562
Country	:	US
Telephone Number	:	727-319-9111
Fax Number	:	727-319-3722

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	07/08/2007

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