JAMES ALTOMARE MD NPI 1962488833

NPI Information

NPI: 1962488833
Provider Name: JAMES ALTOMARE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
820 PRUDENTIAL DR STE 304
CREDENTIALING DEPARTMENT
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 346-3649
Get Directions

James Altomare, MD is a family medicine in Jacksonville, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. James Altomare, MD NPI is 1962488833. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

820 PRUDENTIAL DR STE 304
CREDENTIALING DEPARTMENT
JACKSONVILLE, FL
ZIP 32207-205
Phone: (904) 346-3649
Fax: (904) 348-5627

The NPI 1962488833 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 12/21/2005 and was last updated on 12/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		ME65665	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003108369A	MEDICAID	GEORGIA
2	080178377	OTHER	FLORIDA	FL MCR RR
3	2654903-00	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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