Healthcare Provider Details

I. General information

NPI: 1356335145
Provider Name (Legal Business Name): JAMES MCCAULEY MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 10/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15260 NW 147TH DR SUITE 100
ALACHUA FL
32615-5309
US

IV. Provider business mailing address

15260 NW 147TH DR SUITE 100
ALACHUA FL
32615-5309
US

V. Phone/Fax

Practice location:
  • Phone: 386-418-1222
  • Fax: 386-418-0622
Mailing address:
  • Phone: 386-418-1222
  • Fax: 386-418-0622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME0075035
License Number StateFL

VIII. Authorized Official

Name: MICHELLE L MCCAULEY
Title or Position: PRACTICE MANAGER
Credential:
Phone: 386-418-1222