Individual
JAMES LEROY BUILTEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
224 BLUEBIRD LN, SAINT AUGUSTINE, FL 32080-7976
(904) 315-8642
Mailing address
224 BLUEBIRD LN, SAINT AUGUSTINE, FL 32080-7976
(904) 315-8642
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
ME95145
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME95145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277959500
—
FL
01
—
P00688760
RAILROAD MEDICARE
FL
Enumeration date
03/01/2006
Last updated
10/20/2025
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