MEDICARE: DR. GEORGE K JAMES M.D.

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	2086S0129X	Vascular Surgery Physician	ME25122	FL
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	ME21522	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01364738	OTHER	FL	RAILROAD MEDICARE PROVIDER NUMBER

Other Identifiers

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

General Provider Information

NPI Number	:	1942238837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE K JAMES M.D.

Provider Business Mailing Address
First Line	:	4902 EISENHOWER BLVD
Second Line	:	SUITE 300
City	:	TAMPA
State	:	FL
Zip	:	33634-6344
Country	:	US
Telephone Number	:	813-636-2000
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	11/13/2014

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Directions to “ DR. GEORGE K JAMES M.D.” Practice Location

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