Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | ME123297 | FL |
Y | 207QS0010X | Family Doctor - Sports Medicine | ME123297 | FL |
NPI | 1316258759 |
---|---|
Provider Name | Dr. David Brian Remias |
First Address | Jacksonville, FL 32216-8203 |
Second Address | Jacksonville, FL 32256-5004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2010 |
Last Update Date | 19/07/2021 |