Healthcare Provider Details

I. General information

NPI: 1093317737
Provider Name (Legal Business Name): JAMES A. DOWNEY, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2020
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1851 GOLDEN EAGLE WAY STE 36
FLEMING ISLAND FL
32003-4334
US

IV. Provider business mailing address

1851 GOLDEN EAGLE WAY STE 36
FLEMING ISLAND FL
32003-4334
US

V. Phone/Fax

Practice location:
  • Phone: 904-375-9724
  • Fax: 833-638-0238
Mailing address:
  • Phone: 904-568-4061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES DOWNEY
Title or Position: PRESIDENT
Credential: MD
Phone: 904-463-2830