Individual
MR. JAMES E WITHERSPOON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCEMT-P, CCHW
Contact information
Practice address
400 WEST AIRPORT BLVD, CIMHS, SANFORD, FL 32773
(407) 665-3220
Mailing address
400 WEST AIRPORT BLVD, CIMHS, SANFORD, FL 32773
(407) 665-3220
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
PMD509708
FL
172V00000X
Community Health Worker
CCHW100372
FL
174H00000X
Health Educator
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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