Healthcare Provider Details

I. General information

NPI: 1467441220
Provider Name (Legal Business Name): JAMES D STONE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 6TH AVE S
ST PETERSBURG FL
33701-4509
US

IV. Provider business mailing address

PO BOX 651
ST PETERSBURG FL
33731-0651
US

V. Phone/Fax

Practice location:
  • Phone: 727-898-3647
  • Fax:
Mailing address:
  • Phone: 727-793-9300
  • Fax: 727-793-0052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME0023888
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: