Healthcare Provider Details

I. General information

NPI: 1265470405
Provider Name (Legal Business Name): JAMES W BADMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 W STATE ROAD 434 STE 1500
LONGWOOD FL
32779-5003
US

IV. Provider business mailing address

2160 W STATE ROAD 434 STE 1500
LONGWOOD FL
32779-5003
US

V. Phone/Fax

Practice location:
  • Phone: 407-862-3400
  • Fax: 407-862-6277
Mailing address:
  • Phone: 407-862-3400
  • Fax: 407-862-6277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME69349
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: