Individual
MR. JAMES L. WIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.S.T./C.S.F.A/SA-C
Contact information
Practice address
10495 N FLORIDA AVE, CITRUS SPRINGS, FL 34434-3268
(352) 465-5663
(352) 465-5664
Mailing address
PO BOX 1830, 619 N.E. 7TH AVE., CRYSTAL RIVER, FL 34423-1830
(352) 563-7032
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
117931
FL
246ZS0410X
Surgical Technologist
105719
FL
Other
Enumeration date
04/28/2009
Last updated
08/30/2020
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