Individual
DR. JAMES THOROLF PEVELER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
83078
SC
2084N0400X
Neurology Physician
ME148047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109452200
—
FL
01
—
NH108
FL MEDICARE
FL
05
—
PENDING
—
SC
Enumeration date
10/11/2012
Last updated
02/02/2023
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