Provider Demographics
NPI:1962519454
Name:RUMSEY, CLAUDE CAYCE III (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:CAYCE
Last Name:RUMSEY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 PONTE VEDRA PARK DR
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-6600
Mailing Address - Country:US
Mailing Address - Phone:904-273-6200
Mailing Address - Fax:904-280-8013
Practice Address - Street 1:209 PONTE VEDRA PARK DR
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-6600
Practice Address - Country:US
Practice Address - Phone:904-273-6200
Practice Address - Fax:904-280-8013
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME64704174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265515200Medicaid
FL265515200Medicaid
FL23245Medicare ID - Type Unspecified