Basic Information
| Provider Information | |||||||||
| NPI: | 1871908764 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JAMES M RYNERSON MD PSC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 51 GERMANTOWN COURT | ||||||||
| Address2: | SUITE 13 | ||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 38018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9017370471 | ||||||||
| FaxNumber: | 9017373741 | ||||||||
| Practice Location | |||||||||
| Address1: | 2000 PALM BEACH LAKES BLVD | ||||||||
| Address2: | SUITE 800 | ||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5619659110 | ||||||||
| FaxNumber: | 7062434627 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2014 | ||||||||
| LastUpdateDate: | 06/30/2014 | ||||||||
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| AuthorizedOfficialLastName: | RYNERSON | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | PERSIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9017370471 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QS0132X | Y | Ambulatory Health Care Facilities | Clinic/Center | Ophthalmologic Surgery |
No ID Information.