Provider Demographics
NPI:1376679209
Name:RIMMER, JOHN AP (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:AP
Last Name:RIMMER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:210 JUPITER LAKES BLVD
Practice Address - Street 2:BLDG 5000 SUITE 202
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7191
Practice Address - Country:US
Practice Address - Phone:561-748-1242
Practice Address - Fax:561-746-1162
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME70471174400000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL13248OtherWELLCARE
FL31238OtherBCBS
FLP1038712OtherFREEDOM
FL1012930OtherCAREPLUS
FL7272OtherDIMENSION
FL8810786OtherCIGNA
FL220329OtherAVMED
FL5078700OtherAETNA
FLP973724OtherOPTIMUM
FL31238WMedicare PIN
FL13248OtherWELLCARE
FL220329OtherAVMED