MEDICARE: DR. ERICA MICHELLE JAMES M.D.

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	207Q00000X	Family Medicine Physician	ME96117	FL
2	207Q00000X	Family Medicine Physician	090836	OH

General Provider Information

NPI Number	:	1114135126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERICA MICHELLE JAMES M.D.

Provider Business Mailing Address
First Line	:	10510 PARK LN APT 405
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1755
Country	:	US
Telephone Number	:	813-317-1740
Fax Number	:

Provider Business Practice Location Address
First Line	:	10510 PARK LN APT 405
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1755
Country	:	US
Telephone Number	:	813-317-1740
Fax Number	:

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	08/20/2008

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