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NPI Code Detail

MEDICARE: MR. JAMES RYLAND FLYTHE

MEDICARE:  MR. JAMES RYLAND FLYTHE
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
1363A00000XPhysician AssistantPA9118025FL

General Provider Information

NPI Number : 1942993670
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES RYLAND FLYTHE
Provider Business Mailing Address
First Line : PO BOX 746654
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6654
Country : US
Telephone Number : 904-202-2092
Fax Number : 904-376-4075
Provider Business Practice Location Address
First Line : 1301 PALM AVE STE 600
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8457
Country : US
Telephone Number : 904-202-7300
Fax Number : 904-202-2754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2023
Last Update Date : 03/02/2026

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Directions to “ MR. JAMES RYLAND FLYTHE ” Practice Location

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