Provider Demographics
NPI:1689637985
Name:PUMMER, JAMES MICHAEL (ARNP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MICHAEL
Last Name:PUMMER
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 NW 42ND AVE
Mailing Address - Street 2:APT 602
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5663
Mailing Address - Country:US
Mailing Address - Phone:305-448-4471
Mailing Address - Fax:305-437-7482
Practice Address - Street 1:300 NW 42ND AVE
Practice Address - Street 2:APT 602
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5663
Practice Address - Country:US
Practice Address - Phone:305-448-4471
Practice Address - Fax:305-437-7482
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL668742363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health