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NPI Code Detail

MEDICARE: ARCHA JAMES

MEDICARE: ARCHA JAMES
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine PhysicianME176980FL

General Provider Information

NPI Number : 1588352942
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARCHA JAMES
Provider Business Mailing Address
First Line : 300 PARKVIEW PL
Second Line :
City : LAKELAND
State : FL
Zip : 33805-4550
Country : US
Telephone Number : 863-687-1300
Fax Number :
Provider Business Practice Location Address
First Line : 300 PARKVIEW PL
Second Line :
City : LAKELAND
State : FL
Zip : 33805-4550
Country : US
Telephone Number : 863-687-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2023
Last Update Date : 02/11/2026

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Directions to “ ARCHA JAMES ” Practice Location

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