Provider Demographics
NPI:1992729982
Name:LOVETT, JAMES C (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:LOVETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:410 6TH AVE E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-1928
Mailing Address - Country:US
Mailing Address - Phone:941-748-0747
Mailing Address - Fax:941-741-3348
Practice Address - Street 1:410 6TH AVE E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1928
Practice Address - Country:US
Practice Address - Phone:941-748-0747
Practice Address - Fax:941-741-3348
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME53530207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00748624CMedicaid
GA00748624AMedicaid
FL061112300Medicaid
FL08693OtherBCBS
FLC78538Medicare UPIN
P00157655Medicare PIN
08693CMedicare PIN
P00092691Medicare PIN