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Individual

DR. JAMES R. CUMMINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
27297 CHARLICK RD, BROOKSVILLE, FL 34602-8217
(352) 584-7287
Mailing address
27297 CHARLICK RD, BROOKSVILLE, FL 34602-8217
(352) 584-7287

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME48975
FL
208D00000X
General Practice Physician
Primary
ME48975
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010058670
RAILROAD MEDICARE
FL
01
010066084
RAILROAD MEDICARE
FL
01
02121
BLUE CROSS BLUE SHIELD FL
FL
05
043804900
FL
01
110020734
RAILROAD MEDICARE
FL
01
1902809700
RAILROAD MEDICARE
FL
Enumeration date
05/24/2005
Last updated
01/26/2022
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