Healthcare Provider Details
I. General information
NPI: 1841260171
Provider Name (Legal Business Name): JAMES M. BARCLAY JD
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 01/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
215 S MONROE ST SUITE 815
TALLAHASSEE FL
32301-1839
US
IV. Provider business mailing address
215 S MONROE ST SUITE 815
TALLAHASSEE FL
32301-1839
US
V. Phone/Fax
- Phone: 850-412-2000
- Fax: 850-412-1305
- Phone: 850-412-2000
- Fax: 850-412-1305
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | 114183 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: