Provider Demographics
NPI:1760427165
Name:HIGHSMITH, JAMES T (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:T
Last Name:HIGHSMITH
Suffix:
Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:1809 COLLIER PKWY
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33549-8718
Mailing Address - Country:US
Mailing Address - Phone:813-979-0000
Mailing Address - Fax:813-533-5419
Practice Address - Street 1:1809 COLLIER PKWY
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549
Practice Address - Country:US
Practice Address - Phone:813-979-0000
Practice Address - Fax:813-533-5419
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALMD33308207ND0101X
FLPA9102034363A00000X
FLME124442207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant