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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JAMES E WITHERSPOON IV, CCEMT-P, CCHW

Active

MR. JAMES E WITHERSPOON IV, CCEMT-P, CCHW is a Emergency Medical Technician, Intermediate healthcare provider located in SANFORD, Florida. NPI 1023786753 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Technician, Intermediate · SANFORD, FL

Registration Details

NPI Number
1023786753
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2021 (4.9926236092062 yrs)
Last Updated
Aug 30, 2021
Licenses
PMD509708 (FL)
CCHW100372 (FL)

Practice Information

Address
400 WEST AIRPORT BLVD
CIMHS
SANFORD, FL, 32773
Browse FL providers · Browse ZIP 32773
Phone
4076653220
Additional Specialty
Community Health Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.