Individual
DAVID J. NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
836 PRUDENTIAL DR, SUITE 1001, JACKSONVILLE, FL 32207-8334
(904) 398-0033
(904) 398-6774
Mailing address
11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 32223-1613
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301087715
MI
208600000X
Surgery Physician
Primary
ME120434
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013020600
—
FL
01
—
14XQ5
BCBS FL
FL
Enumeration date
05/14/2007
Last updated
01/11/2018
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