Provider Demographics
NPI:1104337963
Name:JAMES V GAREMORE JR DC PA
Entity type:Organization
Organization Name:JAMES V GAREMORE JR DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:GAREMORE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:352-843-7950
Mailing Address - Street 1:4410 SW 65TH PL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-9544
Mailing Address - Country:US
Mailing Address - Phone:352-843-0825
Mailing Address - Fax:352-843-2395
Practice Address - Street 1:3309 SW 34TH CIR STE 101
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-3311
Practice Address - Country:US
Practice Address - Phone:352-843-0825
Practice Address - Fax:352-843-2395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-19
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005598111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22000OtherBC/BS