MEDICARE: GEORGE K JAMES MD FACS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center	ME25122	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285944686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGE K JAMES MD FACS PA

Provider Business Mailing Address
First Line	:	4513 N ARMENIA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-2703
Country	:	US
Telephone Number	:	813-879-2277
Fax Number	:	813-875-3363

Provider Business Practice Location Address
First Line	:	4513 N ARMENIA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-2703
Country	:	US
Telephone Number	:	813-879-2277
Fax Number	:	813-875-3363

Authorized Official
Title or Position	:	GEORGE K JAMES MD PRESIDENT
Name	:	PROF. GEORGE K JAMES
Credential	:	M.D
Telephone Number	:	813-879-2277

Provider Enumeration Date	:	10/19/2010
Last Update Date	:	10/19/2010

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