Provider Demographics
NPI:1871908764
Name:JAMES M RYNERSON MD PSC
Entity type:Organization
Organization Name:JAMES M RYNERSON MD PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PERSIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:RYNERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-737-0471
Mailing Address - Street 1:51 GERMANTOWN COURT
Mailing Address - Street 2:SUITE 13
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38018
Mailing Address - Country:US
Mailing Address - Phone:901-737-0471
Mailing Address - Fax:901-737-3741
Practice Address - Street 1:2000 PALM BEACH LAKES BLVD
Practice Address - Street 2:SUITE 800
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409
Practice Address - Country:US
Practice Address - Phone:561-965-9110
Practice Address - Fax:706-243-4627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery