MEDICARE: EVELYN JANICE JAMES MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1073871638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELYN JANICE JAMES MSW

Provider Business Mailing Address
First Line	:	3001 SE LAKE WEIR AVE
Second Line	:	APT#110
City	:	OCALA
State	:	FL
Zip	:	34471-6766
Country	:	US
Telephone Number	:	347-728-8508
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 SE LAKE WEIR AVE
Second Line	:	APT#110
City	:	OCALA
State	:	FL
Zip	:	34471-6766
Country	:	US
Telephone Number	:	347-728-8508
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2012
Last Update Date	:	05/01/2012

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