Provider Demographics
NPI:1083966212
Name:THURMAN, JAMES E JR (CSB)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:THURMAN
Suffix:JR
Gender:M
Credentials:CSB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:576 13TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-1309
Mailing Address - Country:US
Mailing Address - Phone:727-826-9890
Mailing Address - Fax:
Practice Address - Street 1:576 13TH AVE NE
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-1309
Practice Address - Country:US
Practice Address - Phone:727-826-9890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner