D'Amato, James Michael

D'Amato, James Michael is an individual health care provider with primary practice located at 1800 Se Tiffany Ave , Port St Lucie FL 34952-7521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. D'Amato, James Michael can be contacted via phone (772) 335-4000.

Contact Information

Primary practice address
1800 Se Tiffany Ave Port St Lucie FL 34952-7521
Phone: (772) 335-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME129931 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 030353 Connecticut

Profile Details

NPI number 1114929031
LBN Legal business name D'Amato, James Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Mar 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114929031 NPPES
Connecticut MEDICAID 001303536

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