Provider Demographics
NPI:1508092347
Name:TRIMBLE, JAMES SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:SCOTT
Last Name:TRIMBLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6890 BELFORT OAKS PL
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-6241
Mailing Address - Country:US
Mailing Address - Phone:904-296-1313
Mailing Address - Fax:904-296-4050
Practice Address - Street 1:6890 BELFORT OAKS PL
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6241
Practice Address - Country:US
Practice Address - Phone:904-296-1313
Practice Address - Fax:904-296-4050
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL109786207NI0002X, 207NS0135X, 207ND0900X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207NI0002XAllopathic & Osteopathic PhysiciansDermatologyClinical & Laboratory Dermatological Immunology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology