Provider Demographics
NPI:1871591529
Name:FINNIE, JAMES DOUGLAS (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DOUGLAS
Last Name:FINNIE
Suffix:
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 1:1130 S SEMORAN BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-1457
Mailing Address - Country:US
Mailing Address - Phone:407-277-3535
Mailing Address - Fax:407-277-6060
Practice Address - Street 1:1130 S SEMORAN BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-1457
Practice Address - Country:US
Practice Address - Phone:407-277-3535
Practice Address - Fax:407-277-6060
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2010-11-11
Deactivation Date:2006-03-21
Deactivation Code:
Reactivation Date:2006-03-27
Provider Licenses
StateLicense IDTaxonomies
FLCH6585111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL76953OtherBLUE CROSS BLUE SHIELD ID
FL4402672OtherUNITED HEALTHCARE PROVIDE
FLK3992Medicare ID - Type UnspecifiedPROVIDER ID
FLU92969Medicare UPIN