Individual
JAMES R JACHIMOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14543 CORTEZ BLVD, BROOKSVILLE, FL 34613-6065
(352) 596-4030
(352) 596-1997
Mailing address
13904 N DALE MABRY HWY STE 200, TAMPA, FL 33618-2446
(352) 596-4030
(352) 596-1997
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME056102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000001300
OPTIMUM
FL
01
—
00008874
ADVANTICA
FL
01
—
0050216
GHI
FL
01
—
010024284
RAILROAD MEDICARE
FL
05
—
038296500
—
FL
01
—
06675
UNIVERSAL HEALTHCARE
FL
01
—
08413
BLUE CROSS BLUE SHIELD FLORIDA
FL
01
—
5670278
AETNA
FL
Enumeration date
11/14/2006
Last updated
09/02/2022
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