Provider Demographics
NPI:1447234125
Name:GAREMORE, JAMES VINCENT JR (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:VINCENT
Last Name:GAREMORE
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4410 SW 65TH PL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-9544
Mailing Address - Country:US
Mailing Address - Phone:342-843-7950
Mailing Address - Fax:352-732-2623
Practice Address - Street 1:801 NE 25TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-6319
Practice Address - Country:US
Practice Address - Phone:352-732-0200
Practice Address - Fax:352-732-2623
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5598111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL350042600OtherRAILROAD MEDICARE NUMBER
FLCH5598OtherFL STATE LICENSE NUMBER
FLCH5598OtherFL STATE LICENSE NUMBER
FL22000Medicare ID - Type Unspecified