James, Gary

James, Gary is an individual health care provider with primary practice located at 1350 Hickory St Ste 101 , Melbourne FL 32901-3224. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. James, Gary can be contacted via phone (321) 434-1401.

Contact Information

Primary practice address
1350 Hickory St Ste 101 Melbourne FL 32901-3224
Phone: (321) 434-1401
Fax: (321) 434-1667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9110289 Florida

Profile Details

NPI number 1619926169
LBN Legal business name James, Gary
Credentials RPA
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 3rd, 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 1619926169 NPPES
Florida MEDICAID 022838200
Florida Other JE476Z
Florida Other JE476Y

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