Provider Demographics
NPI:1346215043
Name:JAMES C. SEYMORE, MD PA
Entity Type:Organization
Organization Name:JAMES C. SEYMORE, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:SEYMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-622-5218
Mailing Address - Street 1:40 SW 12TH ST
Mailing Address - Street 2:B-101
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-4056
Mailing Address - Country:US
Mailing Address - Phone:352-622-5218
Mailing Address - Fax:352-622-7022
Practice Address - Street 1:40 SW 12TH ST
Practice Address - Street 2:B-101
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4056
Practice Address - Country:US
Practice Address - Phone:352-622-5218
Practice Address - Fax:352-622-7022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0033036207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL00524Medicare ID - Type Unspecified