Individual
MR. JAMES WILSON DAMIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
165 SOUTHPARK BLVD, SUITE D, ST AUGUSTINE, FL 32086-4101
(904) 824-7597
(904) 824-7598
Mailing address
110 BONITA RD, ST AUGUSTINE, FL 32086-5706
(904) 794-0038
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2040952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2040952
REGISTERED NURSE
FL
Enumeration date
08/09/2006
Last updated
07/08/2007
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