Provider Demographics
NPI:1487825790
Name:EIMERS, DAVID J
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:EIMERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 7TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-4038
Mailing Address - Country:US
Mailing Address - Phone:239-353-4828
Mailing Address - Fax:
Practice Address - Street 1:1000 TAMIAMI TRL N
Practice Address - Street 2:#501
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5481
Practice Address - Country:US
Practice Address - Phone:239-353-4828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA43657225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist