Healthcare Provider Details

I. General information

NPI: 1558416867
Provider Name (Legal Business Name): CARTRELL JAMES CROSS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 04/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 9TH ST N #100
NAPLES FL
34102-5885
US

IV. Provider business mailing address

311 9TH ST N #100
NAPLES FL
34102-5885
US

V. Phone/Fax

Practice location:
  • Phone: 239-213-7000
  • Fax: 239-430-7824
Mailing address:
  • Phone: 239-213-7000
  • Fax: 239-430-7824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberME114373
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: