Healthcare Provider Details

I. General information

NPI: 1205493939
Provider Name (Legal Business Name): JAMILA JAMES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2019
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date: 01/16/2020
Reactivation Date: 01/27/2020

III. Provider practice location address

4500 SHERIDAN ST
HOLLYWOOD FL
33021-3516
US

IV. Provider business mailing address

4500 SHERIDAN ST
HOLLYWOOD FL
33021-3516
US

V. Phone/Fax

Practice location:
  • Phone: 954-966-8000
  • Fax: 954-966-6614
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number91317
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME179477
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: