Provider Demographics
NPI:1134507460
Name:SIEFERT, JAMES J (ARNP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:J
Last Name:SIEFERT
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 NE 163RD ST
Mailing Address - Street 2:APT 5G
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4467
Mailing Address - Country:US
Mailing Address - Phone:786-298-7952
Mailing Address - Fax:
Practice Address - Street 1:1015 N AMERICA WAY
Practice Address - Street 2:SUITE 150
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-2017
Practice Address - Country:US
Practice Address - Phone:305-358-4265
Practice Address - Fax:305-358-5440
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2062442363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily