Provider Demographics
NPI:1144413626
Name:BRIMM, JAMIE LEE (DC)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEE
Last Name:BRIMM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11802 N 56TH ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-1652
Mailing Address - Country:US
Mailing Address - Phone:813-985-1322
Mailing Address - Fax:813-985-5967
Practice Address - Street 1:11802 N 56TH ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-1652
Practice Address - Country:US
Practice Address - Phone:813-985-1322
Practice Address - Fax:813-985-5967
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9262111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor