MEDICARE: DR. JAMES EDWARD VANEK 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	207R00000X	Internal Medicine Physician	0035984	FL

General Provider Information

NPI Number	:	1306849476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES EDWARD VANEK M.D.

Provider Business Mailing Address
First Line	:	1411 N FLAGLER DR
Second Line	:	STE 4500
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3404
Country	:	US
Telephone Number	:	561-659-5154
Fax Number	:	561-659-3820

Provider Business Practice Location Address
First Line	:	1411 N FLAGLER DR
Second Line	:	STE 4500
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3404
Country	:	US
Telephone Number	:	561-659-5154
Fax Number	:	561-659-3820

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	10/13/2009

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